Carolyn Joanne Mancuso, B.S., BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-13-5621 Issued in FL

Practice address

3717 Turman Loop
Suite 102
Wesley Chapel, FL 33544-7794

Phone

(813) 345-8584

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1972934438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 W RIVERCHASE DR",
            "address_2": "APARTMENT 1306",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336375637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 TURMAN LOOP",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447794",
            "telephone_number": "813-345-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "CAROLYN",
        "middle_name": "JOANNE",
        "name_prefix": "Miss",
        "credential": "B.S., BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-13-5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Shahid Malik, D.D.S
• Morgan Malloy, DO
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• Desiree Mance, PHARMD
• Karrissa Manchester
• Manish Sharma DO PLLC
• Kshemal Mankodi, M.D.
• Theresa Manrique, DMD
• Anette Guadalupe Manriquez-Rivera
• Danay Marante, PA

• Behavior Analyst in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.