Individual provider Active NPI

Cynthia Ambrose-Spano

  • Behavior Analyst
  • Brooksville, FL
National Provider Identifier
1972353571
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23503 Issued in FL
Practice address
812 Buena Vista Ave
Brooksville, FL 34601-3614
Phone
(703) 638-4316
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23503 FL Primary

Addresses

Primary practice location

812 Buena Vista Ave
Brooksville, FL 34601-3614

Mailing address

10104 Weeks Dr Apt Suite
Brooksville, FL 34601-5255
Phone (352) 200-0095

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Analytix Behavior Analyst CurrentSince Mar 31, 2024 Accepting new patients
Gentle Hands Behavioral Therapy LLC Behavior Analyst CurrentSince Mar 31, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1972353571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 WEEKS DR APT SUITE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346015255",
            "telephone_number": "352-200-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BUENA VISTA AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013614",
            "telephone_number": "703-638-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE-SPANO",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-23503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.