Active NPI
Reginald Shannon Seecharan, BCABA
- Assistant Behavior Analyst
- Palm Bay, FL
National Provider Identifier
1174901607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-17-7660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-18414 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Assistant Behavior Analyst
- Palm Bay, FL
- NPI 1801372552
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.