Individual provider Active NPI

Carolina Santiesteban, MA, BCBA

  • Behavior Analyst
  • Stuart, FL
National Provider Identifier
1255831491
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67992 Issued in FL
Practice address
850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Phone
(954) 579-7973
NPI assigned
Feb 14, 2018
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 RBT-18-52060 FL
Behavior Analyst 103K00000X 1-23-67992 FL Primary

Addresses

Primary practice location

850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019

Mailing address

25545 SW 109TH Ave
Homestead, FL 33032-6363
Phone (786) 444-2417

Other practice location 1

13195 SW 134th St Ste 201
Miami, FL 33186-4585
Phone (786) 444-2417

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

State licenses

LicenseStateTypeSpecialty
RBT-18-52060FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1255831491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25545 SW 109TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326363",
            "telephone_number": "786-444-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 173",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "954-579-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13195 SW 134th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864585",
            "country_code": "US",
            "telephone_number": "786-444-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIESTEBAN",
        "first_name": "CAROLINA",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-52060",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.