Individual provider Active NPI

Sherry Vaquero, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1275958779
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9453 SW 76TH St Apt S8
Miami, FL 33173
Phone
(786) 452-6900
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

9453 SW 76TH St Apt S8
Miami, FL 33173

Mailing address

9453 SW 76TH St Apt S8
Miami, FL 33173-3364
Phone (786) 452-6900

Other practice location 1

11420 N Kendall Dr Ste 112
Miami, FL 33176
Phone (305) 279-1999

Other practice location 2

3900 NW 79th Ave
Suite 501
Doral, FL 33166-6556
Phone (305) 597-3861

Other identifiers 1

IdentifierTypeStateIssuer
021750900MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heal the World Behavioral Services, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1275958779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9453 SW 76TH ST APT S8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733364",
            "telephone_number": "786-452-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 SW 76TH ST APT S8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "786-452-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11420 N Kendall Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33176",
            "country_code": "US",
            "telephone_number": "305-279-1999",
            "fax_number": "305-459-3270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 NW 79th Ave",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666556",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAQUERO",
        "first_name": "SHERRY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021750900",
            "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 Feb 4, 2019; 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.