Active NPI
Suwayne Sewell
- Behavior Technician
- West Palm Beach, FL
National Provider Identifier
1457035248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-278209
- Practice address
- 1495 Forest Hill Blvd # A1
West Palm Beach, FL 33406-6073 - Phone
- (737) 265-4888
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- 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 Technician | 106S00000X | 23-278209 | FL | Primary |
Addresses
Primary practice location
1495 Forest Hill Blvd # A1
West Palm Beach, FL 33406-6073
Mailing address
5520 N Haverhill Rd Apt 29
West Palm Beach, FL 33407-3000
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 |
|---|---|---|---|
| 23-278209 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1457035248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 N HAVERHILL RD APT 29",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 FOREST HILL BLVD # A1",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334066073",
"telephone_number": "737-265-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "SUWAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23-278209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.