Active NPI
Victoria Elizabeth Kendall
- Behavior Technician
- Stuart, FL
National Provider Identifier
1275211799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 821 SE Ocean Blvd
Stuart, FL 34994-2456 - Phone
- (772) 872-6940
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
821 SE Ocean Blvd
Stuart, FL 34994-2456
Mailing address
6019 NW Telford Ave
Port St Lucie, FL 34983-3305
Phone (772) 342-2089
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victoria@cbgaba.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1275211799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 NW TELFORD AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833305",
"telephone_number": "772-342-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349942456",
"telephone_number": "772-872-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "victoria@cbgaba.com",
"affiliation": "N",
"address_1": "821 SE Ocean Blvd",
"city": "Stuart",
"state": "FL",
"country_code": "US",
"postal_code": "349942456",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 5, 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.