Active NPI
Sara Ann McQuillin
- Behavior Analyst
- Crestview, FL
National Provider Identifier
1063014744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44736
- Practice address
- 416 Garden St Ste B
Crestview, FL 32536-1755 - Phone
- (808) 729-6398
- Fax
- (850) 331-1480
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-20-44736 | CO | Primary |
Addresses
Primary practice location
416 Garden St Ste B
Crestview, FL 32536-1755
Mailing address
416 Garden St Ste B
Crestview, FL 32536-1755
Phone (808) 729-6398
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": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1063014744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 GARDEN ST STE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361755",
"telephone_number": "808-729-6398",
"fax_number": "850-331-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 GARDEN ST STE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361755",
"telephone_number": "808-729-6398",
"fax_number": "850-331-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLIN",
"first_name": "SARA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-20-44736",
"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 Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.