Active NPI
Sarah Vongunten
- Behavior Technician
- Crestview, FL
National Provider Identifier
1043037971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 296 S Ferdon Blvd
Crestview, FL 32536-3702 - Phone
- (850) 333-1279
- NPI assigned
- Sep 23, 2024
- Last updated
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
296 S Ferdon Blvd
Crestview, FL 32536-3702
Mailing address
3045 N Commerce Pkwy
Miramar, FL 33025-3927
Phone (786) 953-8500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Behavioral Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
296 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 333-1279
3045 N Commerce Pkwy
Miramar, FL 33025
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1043037971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 N COMMERCE PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253927",
"telephone_number": "786-953-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363702",
"telephone_number": "850-333-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONGUNTEN",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.