Individual provider Active NPI

Sarah Pistner, BCBA

  • Behavior Analyst
  • Saint Johns, FL
National Provider Identifier
1366065658
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-59610 Issued in FL
Practice address
70 Elk Grove LN
Saint Johns, FL 32259-8730
Phone
(904) 701-2112
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-59610 FL Primary

Addresses

Primary practice location

70 Elk Grove LN
Saint Johns, FL 32259-8730

Mailing address

70 Elk Grove LN
St Johns, FL 32259-8730
Phone (610) 470-1056

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Branch Therapy LLC Behavior Analyst CurrentSince Jul 28, 2024 Accepting new patients
Answersnow Therapy Services LLC Behavior Analyst Past Accepting new patients

Locations

148 Roberts Village Ct
Ste 1301
Saint Johns, FL 32259
Phone (904) 701-2112

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.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1366065658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ELK GROVE LN",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322598730",
            "telephone_number": "610-470-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ELK GROVE LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598730",
            "telephone_number": "904-701-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTNER",
        "first_name": "SARAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.