Sullynet Echevarria Santiago

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6 Meridian Home LN
Palm Coast, FL 32137-2402

Phone

(386) 603-4600

Fax

(386) 243-2940

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Four Seasons ABA

  • Developmentally Disabled Services Day Training Agency
  • Palm Coast, FL
  • NPI 1134727845
  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1053059394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 ARGO CT",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255732",
            "telephone_number": "508-436-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MERIDIAN HOME LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372402",
            "telephone_number": "386-603-4600",
            "fax_number": "386-243-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA SANTIAGO",
        "first_name": "SULLYNET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easterseals Florida, Inc.
• Easterseals Northeast Central Florida, Inc.
• Easterseals Northeast Central Florida, Inc.
• Easterseals Northeast Central Florida, Inc.
• Easy Transportation LLC
• Echo Community Outreach Inc
• Eci3 Services
• Kaci Eckenrode, COTA/L
• Ecsa Optical Company, LLC
• Shelly Edens, R.D., C.S.O., L.D.N.

• Behavior Technician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.