Active NPI
Nasasha Sports
- Behavior Technician
- Lakeland, FL
National Provider Identifier
1356830392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- A61789270
- Practice address
- 145 E Edgewood Dr
Lakeland, FL 33803-4014 - Phone
- (863) 619-2809
- NPI assigned
- May 4, 2018
- 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 Technician | 106S00000X | A61789270 | VA | Primary |
Addresses
Primary practice location
145 E Edgewood Dr
Lakeland, FL 33803-4014
Mailing address
12819 Daybreak Cir
Newport News, VA 23602-9518
Phone (757) 696-2018
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 |
|---|---|---|---|
| A61789270 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Learning Experiences, Inc. | Single Specialty | Past | Accepting new patients |
| Applied Behavioral Learning Experiences, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lakeland, FL
- NPI 1760627905
-
- Behavior Analyst
- Lakeland, FL
- NPI 1831549674
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1356830392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12819 DAYBREAK CIR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236029518",
"telephone_number": "757-696-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E EDGEWOOD DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034014",
"telephone_number": "863-619-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORTS",
"first_name": "NASASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "VA",
"license": "A61789270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Michael James Spinger
- Gregory J Spirakis, AUD CCC A
- Sports and Orthopedic Rehabilitation Services Inc
- Sports and Orthopedic Rehabilitation Services Inc
- Sports and Orthopedic Rehabilitation Services, Inc.
- Angelo Peter Spoto Jr., M.D.
- Chelsy Christina Springs, APRN
- Srinivas Samak MD.PA
- Ananta Manjula Hasini Sriram, MD
- SS Polk III Community HC LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.