Sarah V Clendenin Portalatin, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

11312799 Issued in FL

Practice address

2615 Fairview Drive
Homestead, FL 33035

Phone

(407) 683-0210

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1285295493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 OCEAN COURSE AVE.",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347479992",
            "telephone_number": "407-683-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FAIRVIEW DRIVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33035",
            "telephone_number": "407-683-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENIN PORTALATIN",
        "first_name": "SARAH",
        "middle_name": "V",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "11312799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.