NPIMap

Organization Active NPI

Sunshine ABA Therapy Services LLC

  • Behavior Analyst
  • Eustis, FL
National Provider Identifier
1487222949
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNSHINE ABA THERAPY SERVICES LLC
Practice address
3209 Cypress Grove Dr
Eustis, FL 32736-2503
Phone
(407) 907-2077
NPI assigned
Jun 11, 2021
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Nicole Wagner, BCBANPI 1871866582
Title
Owner
Phone
(407) 670-9047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3209 Cypress Grove Dr
Eustis, FL 32736-2503

Mailing address

3209 Cypress Grove Dr
Eustis, FL 32736-2503
Phone (407) 670-9047

Other practice location 1

4132 Madeline Dr
Augusta, GA 30909-9114
Phone (407) 907-2077

Other practice location 2

600 E Oglethorpe Hwy Ste B
Hinesville, GA 31313-2806
Phone (407) 907-2077

National Provider Directory

National Provider Directory

Locations

1803 Park Center Dr
Ste 212
Orlando, FL 32835
Phone (407) 907-2077

4132 Madeline Dr
Augusta, GA 30909
Phone (407) 907-2077

600 E Oglethorpe Hwy
Ste B
Hinesville, GA 31313
Phone (407) 907-2077

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1487222949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 CYPRESS GROVE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362503",
            "telephone_number": "407-670-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 CYPRESS GROVE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362503",
            "telephone_number": "407-907-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4132 Madeline Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099114",
            "country_code": "US",
            "telephone_number": "407-907-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Oglethorpe Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313132806",
            "country_code": "US",
            "telephone_number": "407-907-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE ABA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-670-9047",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.