Individual provider Active NPI

Nia Fraser, RBT

  • Behavior Technician
  • Lake Mary, FL
National Provider Identifier
1497257554
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-296455 Issued in FL
Practice address
758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599
Phone
(407) 317-5429
Fax
(321) 800-7201
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Behavior Technician 106S00000X RBT-23-296455 FL Primary

Addresses

Primary practice location

758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599

Mailing address

1509 E Colonial Dr Ste 300
Orlando, FL 32803-4729
Phone (407) 317-5429

Other practice location 1

541 Main St
New London, NH 03257-7818
Phone (603) 526-3400

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-23-296455FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1497257554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E COLONIAL DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034729",
            "telephone_number": "407-317-5429",
            "fax_number": "321-800-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N SUN DR STE 112",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462599",
            "telephone_number": "407-317-5429",
            "fax_number": "321-800-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Main St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032577818",
            "country_code": "US",
            "telephone_number": "603-526-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER",
        "first_name": "NIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-296455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.