Sandcastle Centers LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SANDCASTLE CENTERS LLC

Practice address

3208 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3350

Phone

(850) 932-8021

Fax

(888) 958-5753

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Kinnebrew, MA BCBANPI 1598032500

Title

Ceo

Phone

(850) 264-1507

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Elizabeth Kinnebrew, BCBA

  • Behavior Analyst
  • Orlando, FL
  • NPI 1598032500
  Authorized official Same address or phone

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1093217689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633350",
            "telephone_number": "850-932-8021",
            "fax_number": "888-958-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633350",
            "telephone_number": "850-932-8021",
            "fax_number": "888-958-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCASTLE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "KINNEBREW",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-264-1507",
        "authorized_official_credential": "MA BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saden Chiropractic LLC (Baybridge Chiropractic Clinic)
• Patrick Saden
• Joseph T Saiter Jr., MD
• Yvonne Salter, LMT
• Nancy Pearce Sampson
• Leslie Marie Haney Sanders, M.D.
• Sandra Dianne Hastings
• Jennifer Marie Schade, LMT
• Angela Scheidt
• Sarah Marie Schensted, PTA

• Behavior Analyst in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.