Active NPI
Andrea Maxwell, BCBA
- Behavior Analyst
- Ocala, FL
National Provider Identifier
1962938100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-70080
- Practice address
- 5431 SE 92ND St
Ocala, FL 34480-5415 - Phone
- (714) 366-1799
- NPI assigned
- May 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-70080 | FL | Primary |
Addresses
Primary practice location
5431 SE 92ND St
Ocala, FL 34480-5415
Mailing address
5431 SE 92ND St
Ocala, FL 34480-5415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1962938100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 SE 92ND ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344805415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5431 SE 92ND ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344805415",
"telephone_number": "714-366-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "ANDREA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-09",
"last_updated": "2024-04-16",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-70080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.