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Andrea Tisdale
NPI 1679295893 · Behavior Technician · Maitland, FL
Andrea Tisdale is a Behavior Technician provider in Maitland, FL (NPI 1679295893).
Provider details
- NPI number
- 1679295893
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 S Lake Destiny Rd Ste 350
Maitland, FL 32751-7222
Phone: (407) 618-0493
Street-level locationGet directions
Mailing address
608 Massachusetts Ave
Saint Cloud, FL 34769-2828
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Andrea Tisdale's NPI number?
- Andrea Tisdale's National Provider Identifier (NPI) is 1679295893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Tisdale's specialty?
- Andrea Tisdale is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Andrea Tisdale located?
- Andrea Tisdale's practice location on file with NPPES is 601 S Lake Destiny Rd Ste 350, Maitland, FL 32751-7222.
- What is Andrea Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Andrea Tisdale is (407) 618-0493.
- Is Andrea Tisdale's NPI active?
- Yes — Andrea Tisdale's NPI (1679295893) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.