The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lauderhill and Florida

23 active clinicians are listed under Behavior Analyst with a practice address in Lauderhill, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lauderhill

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-22

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL BCBA-1-22-62910

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES FL 0-20-11431

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

108669800 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location October 24, 2024

Registered at 4420 NW 11TH ST, LAUDERHILL, FL 33313 (Tel: 7868132941)

📍

Updated Business Mailing Address October 24, 2024

Registered at 4420 NW 11TH ST, LAUDERHILL, FL 33313 (Tel: 7868132941)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2024

Behavior Analyst (license number reported to NPPES: FL BCBA-1-22-62910)

✅

NPI Profile Active January 08, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) January 08, 2021

Registered at 3241 SW 26TH ST, MIAMI, FL 331332025 (Tel: 7869145826)

📍

Business Mailing Address (Initial Record) January 08, 2021

Registered at 3241 SW 26TH ST, MIAMI, FL 331332025 (Tel: 7869145826)

👤

Provider Name / Credentials (Initial Record) January 08, 2021

Recorded as AMANDA BANCES BROCHE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Assistant Behavior Analyst (license number reported to NPPES: FL 0-20-11431)

🟢

Initial NPI Registration & Enumeration January 08, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104414796

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 08, 2021

Last Update: October 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4420 Nw 11th St

Lauderhill, FL 33313

Phone: 7868132941

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.