Individual provider Active NPI

Sandi Campbell, RBT

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1508415050
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-19-97897 Issued in FL
Practice address
13195 SW 134TH St Ste 201
Miami, FL 33186-4585
Phone
(786) 206-6500
NPI assigned
Sep 7, 2019
Reactivated
Sep 18, 2019
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X
Behavior Analyst 103K00000X RBT-19-97897 FL Primary

Addresses

Primary practice location

13195 SW 134TH St Ste 201
Miami, FL 33186-4585

Mailing address

6941 SW 10TH St
Pembroke Pines, FL 33023-1634
Phone (305) 720-5908

Other practice location 1

3000 NE 151st St
North Miami, FL 33181-3605
Phone (305) 720-5908

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-19-97897FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1508415050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231634",
            "telephone_number": "305-720-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864585",
            "telephone_number": "786-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 NE 151st St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331813605",
            "country_code": "US",
            "telephone_number": "305-720-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SANDI",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "deactivation_date": "2019-09-08",
        "reactivation_date": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-19-97897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.