Individual provider Active NPI

Sheena M Piehota, BCBA, QBA

  • Behavior Analyst
  • Cameron, NC
National Provider Identifier
1073972923
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55111 Issued in FL
Practice address
169 Mittie Haddock Dr
Cameron, NC 28326-9379
Phone
(386) 717-9131
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-55111 FL Primary
Behavior Analyst 103K00000X 11273 NC
Behavior Analyst 103K00000X 8013 NC
Assistant Behavior Analyst 106E00000X

Addresses

Primary practice location

169 Mittie Haddock Dr
Cameron, NC 28326-9379

Mailing address

4234 Cougar Cir
Niceville, FL 32578-8784
Phone (386) 717-9131

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

State licenses

LicenseStateTypeSpecialty
8013NCMDBehavioral Analyst
11273NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Solara Autism Services LLC Current 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": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1073972923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 COUGAR CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788784",
            "telephone_number": "386-717-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MITTIE HADDOCK DR",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283269379",
            "telephone_number": "386-717-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEHOTA",
        "first_name": "SHEENA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "BCBA, QBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-55111",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "11273",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "8013",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.