Manuel Enrique Ampudia Perez, RBT
Behavior Technician in Tampa, FL. Individual provider (NPI-1).
NPI number1104695352
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1104695352
- Entity type
- Individual (NPI-1)
- Name
- Manuel Enrique Ampudia Perez
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2023
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 23-314736 | FL | Yes |
Practice location
11006 Wingate DrTampa, FL 33624-5234
Phone 656-227-0800
Mailing address
11006 Wingate DrTampa, FL 33624-5234
Phone 656-227-0800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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