Serguey Enrique Segura Trista

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-75331 Issued in FL

Practice address

13402 SW 6TH St
Miami, FL 33184-1142

Phone

(786) 457-9860

NPI assigned

Jun 17, 2020

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Male

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

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.

• A&S Behavioral Care Inc

  • Behavior Analyst
  • Naples, FL
  • NPI 1184432189
  NPD Authorized official
• Beyondabc Inc

  • Behavior Analyst
  • Hallandale Beach, FL
  • NPI 1174378376
  Authorized official Same address or phone

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1306462130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 SW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841142",
            "telephone_number": "786-457-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 SW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841142",
            "telephone_number": "786-457-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA TRISTA",
        "first_name": "SERGUEY",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-75331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio C Segura Garcia, CBHCMS
• Rafael E Segura Herrera
• Inima Oneida Segura Martinez
• Jennifer Segura Perez
• Patricia Segura Sotolongo
• Latricia Lynette Segura-Branch, PHARMD
• Jessica Segura-Sanchez
• Alexandra Segura
• Azaharia J Segura
• Esteban R Segura, CHT

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.