Individual provider Active NPI

Sandria Janay Squaire

  • Behavior Technician
  • Huntsville, AL
National Provider Identifier
1033787072
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4769 Whitesburg Dr SE Ste 202
Huntsville, AL 35802-1684
Phone
(256) 229-2978
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AL Primary

Addresses

Primary practice location

4769 Whitesburg Dr SE Ste 202
Huntsville, AL 35802-1684

Mailing address

4769 Whitesburg Dr SE Ste 202
Huntsville, AL 35802-1684

Other identifiers 1

IdentifierTypeStateIssuer
1770017311OtherALOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vbangalore@inquiringmindsbds.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1033787072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4769 WHITESBURG DR SE STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 WHITESBURG DR SE STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021684",
            "telephone_number": "256-229-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUAIRE",
        "first_name": "SANDRIA",
        "middle_name": "JANAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1770017311",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbangalore@inquiringmindsbds.com",
            "affiliation": "N",
            "address_1": "4769 Whitesburg Dr SE Ste 202",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358021684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.