Individual provider Active NPI

Sophonie Simeon

  • Behavior Technician
  • Lighthouse Point, FL
National Provider Identifier
1447964853
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-253074 Issued in FL
Practice address
4701 N Federal Hwy Ste 460
Lighthouse Point, FL 33064-6591
Phone
(954) 866-1430
Fax
(888) 419-0594
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-253074 FL Primary

Addresses

Primary practice location

4701 N Federal Hwy Ste 460
Lighthouse Point, FL 33064-6591

Mailing address

1450 E Sample Rd Apt 107
Pompano Beach, FL 33064-6267
Phone (954) 695-3549

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office

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

LicenseStateTypeSpecialty
RBT-23-253074FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1447964853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E SAMPLE RD APT 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646267",
            "telephone_number": "954-695-3549",
            "fax_number": "888-419-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 460",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646591",
            "telephone_number": "954-866-1430",
            "fax_number": "888-419-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEON",
        "first_name": "SOPHONIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-253074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "laptops",
            "address_1": "3170 N Federal Hwy Ste 209",
            "city": "Lighthouse Point",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330646722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.