Provider Demographics
NPI:1265832091
Name:CARAVELLA, AMANDA WALKER (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:WALKER
Last Name:CARAVELLA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34042 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-4356
Mailing Address - Country:US
Mailing Address - Phone:407-683-1072
Mailing Address - Fax:
Practice Address - Street 1:34042 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-4356
Practice Address - Country:US
Practice Address - Phone:407-683-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst