Individual provider Active NPI

Sara Isabel Freire-Blanco, BCBA

  • Behavior Analyst
  • Lauderdale Lakes, FL
National Provider Identifier
1154056174
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-85104 Issued in FL
Practice address
3001 NW 49TH Ave Ste 305
Lauderdale Lakes, FL 33313-7263
Phone
(561) 494-4499
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-25-85104 FL Primary

Addresses

Primary practice location

3001 NW 49TH Ave Ste 305
Lauderdale Lakes, FL 33313-7263

Mailing address

12715 SW 136TH St Apt 2209
Miami, FL 33186-5280
Phone (786) 308-5063

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1154056174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 SW 136TH ST APT 2209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865280",
            "telephone_number": "786-308-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 305",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137263",
            "telephone_number": "561-494-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE-BLANCO",
        "first_name": "SARA",
        "middle_name": "ISABEL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-85104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.