Individual provider Active NPI

Anisha Jane Staton, M.A.

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1205323318
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45066 Issued in FL
Practice address
1900 N Bayshore Dr
Miami, FL 33132-3001
Phone
(954) 400-3251
Fax
(954) 998-7326
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-20-45066 FL Primary

Addresses

Primary practice location

1900 N Bayshore Dr
Miami, FL 33132-3001

Mailing address

1900 N Bayshore Dr
Miami, FL 33132-3001
Phone (954) 400-3251

Other practice location 1

5180 W Atlantic Ave Ste 114
Delray Beach, FL 33484-8103
Phone (954) 224-7857

Other identifiers 1

IdentifierTypeStateIssuer
82-1412798MedicaidFL

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1205323318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323001",
            "telephone_number": "954-400-3251",
            "fax_number": "954-998-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323001",
            "telephone_number": "954-400-3251",
            "fax_number": "954-998-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5180 W Atlantic Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334848103",
            "country_code": "US",
            "telephone_number": "954-224-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "ANISHA",
        "middle_name": "JANE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-45066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-1412798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.