Haley Surdam

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67101 Issued in FL

Practice address

3001 W Silver Springs Blvd BLDG 200
Ocala, FL 34475-5647

Phone

(352) 358-3700

NPI assigned

Aug 21, 2020

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopebridge LLC

  • Behavior Analyst
  • University Park, FL
  • NPI 1700461704
  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1245842194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W SILVER SPRINGS BLVD BLDG 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755647",
            "telephone_number": "352-358-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 W Anthony Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344758738",
            "country_code": "US",
            "telephone_number": "321-241-1170",
            "fax_number": "321-241-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURDAM",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67101",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Ocala)
• Super Urgent Care LLC
• Superlative Care Inc
• Supermale
• Supportive Connections Inc.
• Surgical Associates of Marion County PA
• Surgical Consultants of Central FL
• Surgical Specialists of Ocala PA
• Harrison Surratt, DO
• Susan F Sands DC

• Behavior Analyst in Ocala, FL
• Providers in Ocala, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.