Active NPI
Sara Danise Collins
- Behavior Technician
- Enterprise, AL
National Provider Identifier
1295353902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-123882
- Practice address
- 1247 Rucker Blvd Ste 3
Enterprise, AL 36330-3630 - Phone
- (334) 347-5003
- NPI assigned
- Jul 9, 2020
- 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 | RBT-20-123882 | FL | Primary |
Addresses
Primary practice location
1247 Rucker Blvd Ste 3
Enterprise, AL 36330-3630
Mailing address
2326 E 34TH PL
Panama City, FL 32405-5602
Phone (850) 258-6904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-123882 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1295353902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 E 34TH PL",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055602",
"telephone_number": "850-258-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 RUCKER BLVD STE 3",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363303630",
"telephone_number": "334-347-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SARA",
"middle_name": "DANISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-123882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.