Active NPI
Regina Edward
- Behavior Analyst
- Sunrise, FL
National Provider Identifier
1437466299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103TB0200X
- Practice address
- 440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236 - Phone
- (954) 496-0510
- Fax
- (954) 745-1120
- NPI assigned
- Sep 1, 2010
- 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 Analyst | 103K00000X | 103TB0200X | FL | Primary |
Addresses
Primary practice location
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Mailing address
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone (954) 496-0510
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 |
|---|---|---|---|
| 103TB0200X | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1437466299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333256236",
"telephone_number": "954-496-0510",
"fax_number": "954-745-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333256236",
"telephone_number": "954-496-0510",
"fax_number": "954-745-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARD",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "103TB0200X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.