Individual provider Active NPI

Amber Nunes

  • Behavior Technician
  • Palm City, FL
National Provider Identifier
1154811875
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4203 SW High Meadows Ave
Palm City, FL 34990-3726
Phone
(772) 222-5560
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

4203 SW High Meadows Ave
Palm City, FL 34990-3726

Mailing address

305 SW la Mesa LN
Palm City, FL 34990-5932
Phone (772) 834-8269

Other practice location 1

1565 Highway 34 E
Newnan, GA 30265-2401
Phone (877) 288-4760

Other practice location 2

9150 SW 21st Dr
Stuart, FL 34997-7925
Phone (772) 834-8269

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast ABA Services Behavior Technician CurrentSince Oct 23, 2022 Accepting new patients
Treasure Coast ABA Services PastSince Jul 24, 2022 Accepting new patients
Dogwood Autism Services, LLC PastSince Aug 1, 2022 Accepting new patients

Locations

4203 SW High Meadows Ave
Palm City, FL 34990
Phone (772) 222-5560

Organizations & group practices 3

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1154811875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SW LA MESA LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905932",
            "telephone_number": "772-834-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903726",
            "telephone_number": "772-222-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652401",
            "country_code": "US",
            "telephone_number": "877-288-4760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 SW 21st Dr",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349977925",
            "country_code": "US",
            "telephone_number": "772-834-8269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNES",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.