Carolyn Syzonenko

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2500 Bobcat Village Center Rd
North Port, FL 34288-8476

Phone

(239) 778-6574

Fax

(888) 751-4019

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

Yes

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.

• Early Autism Project, Inc.

  dba Surpass Behavioral Health

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1033427471
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1295209948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11831 DE MIRANDA AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871000",
            "telephone_number": "941-769-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888476",
            "telephone_number": "239-778-6574",
            "fax_number": "888-751-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Cahaba Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352422602",
            "country_code": "US",
            "telephone_number": "205-994-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3217 S Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336291719",
            "country_code": "US",
            "telephone_number": "813-284-7941",
            "fax_number": "615-577-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYZONENKO",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-16-22374",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Allergy and Asthma PLLC
• Sunshine State Dermatology and Skin Cancer Center Inc (Sunshine State Dermatology and Skin Cancer Center)
• Kirsten L Sutherland, DC
• SW Physical Therapy
• Sweetwater Oaks Assisted Living
• Barna Szabo
• T & S Psychiatric Consultants LLC
• Samantha Tabone
• Taisha Tadeus
• Nancy Tapia

• Behavior Analyst in North Port, FL
• Providers in North Port, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.