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Amanda Rudd Bonnell

Behavior Analyst β€’ Port Orange, FL

Active NPI 1154728194 Individual Practitioner Female Practitioner
Practice location in NPPES

823 Dunlawton Ave Ste A
Port Orange, FL 321274221

Call 8778234283 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

823 Dunlawton Ave Ste A

Port Orange, FL 321274221

Telephone 8778234283
Organization at the Same NPPES Address or Phone
Lincare Pulmonary Rehab Services Of Florida, Pl Facility NPI 1376807610

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

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: NPI first issued

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, β€œDoes 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 Port Orange and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Orange

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-16-24732

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location August 09, 2022

Registered at 823 DUNLAWTON AVE STE A, PORT ORANGE, FL 321274221 (Tel: 8778234283)

πŸ“
Updated Business Mailing Address August 09, 2022

Registered at 1308 PEACHTREE RD, DAYTONA BEACH, FL 321145956

πŸ‘€
Provider Name / Credentials Updated August 09, 2022

Recorded as AMANDA BONNELL

πŸ“
Updated Practice Location April 18, 2018

Registered at 225 S SWOOPE AVE STE 211, MAITLAND, FL 327515786 (Tel: 4076620444)

πŸ“
Updated Business Mailing Address April 18, 2018

Registered at 800 TABATHA DR, OSTEEN, FL 327649353

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Counselor

βœ…
NPI Profile Active November 19, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 19, 2014

Registered at 27604 CASHFORD CIRCLE, WESLEY CHAPEL, FL 335440001 (Tel: 8133458584)

πŸ“
Business Mailing Address (Initial Record) November 19, 2014

Registered at 27604 CASHFORD CIRCLE, WESLEY CHAPEL, FL 335440001

πŸ‘€
Provider Name / Credentials (Initial Record) November 19, 2014

Recorded as AMANDA RUDD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 19, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154728194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2014
Last Update: August 09, 2022
Sole Proprietor: No

Mailing Address

1308 Peachtree Rd

Daytona Beach, FL 321145956

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.