Healthcare Provider Details

I. General information

NPI: 1821371691
Provider Name (Legal Business Name): AMANDA STEINER BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMANDA VANATTIA

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 12/01/2024
Certification Date: 12/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 ROSE MOSS LN
ORLANDO FL
32807-6423
US

IV. Provider business mailing address

2805 ROSE MOSS LN
ORLANDO FL
32807-6423
US

V. Phone/Fax

Practice location:
  • Phone: 407-620-9215
  • Fax:
Mailing address:
  • Phone: 407-620-9215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: