Individual provider Active NPI

Catherine Vega, M.S. BCBA

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1043547201
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9011 NW 7TH CT
Pembroke Pines, FL 33024-6451
Phone
(954) 394-4883
Fax
(954) 241-6872
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 00586 KS
Behavior Analyst 103K00000X 2023008346 MO
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

9011 NW 7TH CT
Pembroke Pines, FL 33024-6451

Mailing address

9011 NW 7TH CT
Pembroke Pines, FL 33024-6451
Phone (954) 394-4883

Other practice location 1

6910 Silverheel St
Shawnee, KS 66226-5316
Phone (913) 405-4550

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00586KSMDBehavioral Analyst
2023008346MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluehawk Creative Learning Center, Inc. Behavior Analyst PastSince Jan 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1043547201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 NW 7TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246451",
            "telephone_number": "954-394-4883",
            "fax_number": "954-241-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 NW 7TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246451",
            "telephone_number": "954-394-4883",
            "fax_number": "954-241-6872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6910 Silverheel St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662265316",
            "country_code": "US",
            "telephone_number": "913-405-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "M.S. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "00586",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2023008346",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.