Individual provider Active NPI

Reginald Shannon Seecharan, BCABA

  • Assistant Behavior Analyst
  • Palm Bay, FL
National Provider Identifier
1174901607
Registry record updated Aug 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-17-7660 Issued in CO
Practice address
700 James Cir NE
Palm Bay, FL 32905
Phone
(321) 961-7898
NPI assigned
May 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-18414 FL
Developmental Therapist 222Q00000X
Assistant Behavior Analyst 106E00000X 0-17-7660 CO Primary

Addresses

Primary practice location

700 James Cir NE
Palm Bay, FL 32905

Mailing address

700 James Cir NE
Palm Bay, FL 32905-5613
Phone (321) 961-7898

Other practice location 1

1400 Dixon Ave
Lafayette, CO 80026-2790
Phone (303) 457-5719

Other practice location 2

1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Phone (321) 372-6813

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
RBT-16-18414FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Analytic Services LLC Assistant Behavior Analyst Past 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": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533340800000",
    "number": "1174901607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 JAMES CIR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055613",
            "telephone_number": "321-961-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JAMES CIR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-961-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Dixon Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262790",
            "country_code": "US",
            "telephone_number": "303-457-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012622",
            "country_code": "US",
            "telephone_number": "321-372-6813",
            "fax_number": "321-765-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEECHARAN",
        "first_name": "REGINALD",
        "middle_name": "SHANNON",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-17",
        "last_updated": "2018-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-16-18414",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CO",
            "license": "0-17-7660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.