Individual provider · Type 1 NPI

Georgia Theodora Mantis, BCBA

Behavior Analyst · Tampa, FL

NPI number 1558019752 Active

Practice location

1413 Tech Blvd Ste 122
Tampa, FL 33619-7822

Call (630) 965-3857 Map

Mailing address

1235 S Highland Ave # 4209
Clearwater, FL 33756-4391

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X12258182 (FL)

Behavior Analyst: 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…

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About NPI 1558019752

Georgia Theodora Mantis, BCBA's National Provider Identifier is 1558019752, issued on Mar 16, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Tampa, FL. The record was last updated on Mar 25, 2026.