Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Tisdale

Individual provider Behavior Technician · NPI 1679295893

Andrea Tisdale is a Behavior Technician in Maitland, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

601 S Lake Destiny Rd Ste 350
Maitland, FL 32751-7222
Phone: (407) 618-0493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1679295893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address608 Massachusetts Ave, Saint Cloud, FL 34769-2828

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