MRS. GEORGIA THEODORA MANTIS BCBA
NPI 1558019752
Behavior Analyst in Tampa, FL

Q: What is Georgia Mantis's NPI number?

The NPI number for Georgia Mantis is 1558019752. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Q: What is Georgia Mantis's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Georgia Mantis was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2022PECOS Enrolled

1413 TECH BLVD STE 122, TAMPA, FL 33619(630) 965-3857 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Georgia Theodora Mantis Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GEORGIA THEODORA MANTIS BCBA (NPI 1558019752) is an individual behavior analyst provider in Tampa, Florida, licensed in Florida (12258182) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558019752

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMRS. GEORGIA THEODORA MANTISCredential: BCBA

Location Address1413 TECH BLVD STE 122Tampa, FL 33619-7822

Mailing Address1235 S Highland Ave # 4209Clearwater, FL 33756-4391 · (630) 965-3857

Phone(630) 965-3857

Sole ProprietorNo

Enumeration DateMarch 16, 2022

Last NPPES UpdateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1558019752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 12258182

Definition

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.

1413 TECH BLVD STE 122, Tampa, FL 33619

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Georgia Theodora Mantis Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE RAE CHAIT

Behavior Technician