Active NPI
Anika Costa, BCBA
- Behavior Analyst
- Port Saint Lucie, FL
National Provider Identifier
1356615694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7378
- Practice address
- 8809 Bally Bunion Rd
Port Saint Lucie, FL 34986-3085 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-10-7378 | FL | Primary |
Addresses
Primary practice location
8809 Bally Bunion Rd
Port Saint Lucie, FL 34986-3085
Mailing address
8809 Bally Bunion Rd
Port Saint Lucie, FL 34986-3085
Phone (855) 832-6727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1356615694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 BALLY BUNION RD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863085",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8809 BALLY BUNION RD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863085",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "ANIKA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-10-7378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
- Corey Kare Home & Community Support Services, LLC
- Cynthia Corletto Rivera, DMD
- Cornerstone Pediatrics
- Yadenis Deivis Corona Martin
- Christina Cortez
- Claudia Liliana Costa, APRN
- Council on Aging of St. Lucie Inc.
- Counseling Through Hope, LLC
- Country Living Assisted Care Center Inc
- Nancy Cox, PHD/DNM, MSED, RA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.