Bryan Nanez, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-8402 Issued in FL

Practice address

440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244

Phone

(954) 745-1112

NPI assigned

Jun 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1104277789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANEZ",
        "first_name": "BRYAN",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-25",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-8402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assistant Behavior Analyst in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.