DR. ANDRES FELICIANO MAMBUCA PSYD, MS, LMHC
NPI 1720352743
Behavior Analyst in Pembroke Pines, FL

Q: What is Andres Mambuca's NPI number?

The NPI number for Andres Mambuca is 1720352743. It was assigned to this individual provider in the NPPES registry on March 8, 2012.

Q: What is Andres Mambuca'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 Andres Mambuca was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 08, 2012PECOS Enrolled

1921 NW 150TH AVE STE 104, PEMBROKE PINES, FL 33028(954) 251-7005(954) 251-7005 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Feb 23, 2025, Aug 20, 2024 and 3 more (6 updates tracked since 2019).

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About Dr. Andres Feliciano Mambuca Psyd, Ms, Lmhc NPPES

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

DR. ANDRES FELICIANO MAMBUCA PSYD, MS, LMHC (NPI 1720352743) is an individual behavior analyst provider in Pembroke Pines, Florida and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miramar.

NPPES Registry Identity

NPI1720352743

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDR. ANDRES FELICIANO MAMBUCACredential: PSYD, MS, LMHC

Location Address1921 NW 150TH AVE STE 104Pembroke Pines, FL 33028-2872

Mailing Address3311 Sw 195th TerMiramar, FL 33029-5881 · (954) 663-8086 · Fax (954) 251-7005

Phone(954) 251-7005

Fax(954) 251-7005

Sole ProprietorYes

Enumeration DateMarch 8, 2012

Last NPPES UpdateFebruary 24, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1720352743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11089 (FL)

1921 NW 150TH AVE STE 104, Pembroke Pines, FL 33028

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Secondary Practice Location 1

Location 13311 SW 195th TerMiramar, FL 33029-5881 · Phone (954) 663-8086 · Fax (954) 251-7005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andres Feliciano Mambuca Psyd, Ms, Lmhc 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 3

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

FARLAH B VERNERET

Behavior Technician

1921 NW 150TH AVE STE 104
PEMBROKE PINES, FL 33028

Broward County (786) 393-0361

MENTAL HEALTH INSTITUTE OF FLORIDA LLC

Counselor (Mental Health)

1921 NW 150TH AVE STE 104
PEMBROKE PINES, FL 33028

Broward County (786) 393-0361

MENTAL HEALTH INSTITUTE OF FLORIDA

Behavior Analyst

1921 NW 150TH AVE STE 104
PEMBROKE PINES, FL 33028

Broward County (786) 393-0361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andres Mambuca's NPI number?

The NPI number for Andres Mambuca is 1720352743. It was assigned to this individual provider in the NPPES registry on March 8, 2012.

Where is Andres Mambuca located?

Andres Mambuca practices at 1921 NW 150th Ave Ste 104, Pembroke Pines, FL 33028. The listed phone number is (954) 251-7005.

What is Andres Mambuca's specialty?

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

Is Andres Mambuca enrolled in Medicare?

Yes. Andres Mambuca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andres Mambuca was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.