Amanda A Alburquerque Desjardins, M.S., BCBA
Behavior Analyst in Pinellas Park, FL. Individual provider (NPI-1).
NPI number1508435009
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1508435009
- Entity type
- Individual (NPI-1)
- Name
- Amanda A Alburquerque Desjardins
- Credential
- M.S., BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2021
- Certification date
- Oct 31, 2024
- Last updated
- Nov 4, 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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3491 Gandy ParkSuite 100
Pinellas Park, FL 33781
Phone 727-390-2211
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
Other practice locations
14005 Sw 48th Ter
Miami, FL 33175-4832
Miami, FL 33175-4832
Phone 786-266-3239
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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