Kelly Tanga, BCBA

Behavior Analyst in Orlando, FL. Individual provider (NPI-1).

NPI number1982147732

StatusActive

Last updated in NPPESFeb 27, 2020

Details

NPI: 1982147732
Entity type: Individual (NPI-1)
Name: Kelly Tanga
Credential: BCBA
Sex: Female
Sole proprietor: No
Enumeration date: Nov 28, 2016
Certification date: Feb 27, 2020
Last updated: Feb 27, 2020

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	1-19-38904	FL	Yes
106S00000X	Behavior Technician	RBT-15-10322	FL

Practice location

500 E Colonial Dr
Orlando, FL 32803-4504

Phone 407-218-4340 · Fax 407-218-4303

Mailing address

500 E Colonial Dr
Orlando, FL 32803-4504

Phone 407-218-4340 · Fax 407-218-4303

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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