Soaud Cornell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-210762 Issued in FL

Practice address

1939 Maguire Rd # 107-108
Windermere, FL 34786-7942

Phone

(407) 619-8156

NPI assigned

Apr 7, 2022

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kredo Health LLC

  • Behavior Analyst
  • Windermere, FL
  • NPI 1295452936
  NPD Authorized official
• Kredo Health LLC

  • Speech-Language Pathologist
  • Windermere, FL
  • NPI 1427796630
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1508507914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MAGUIRE RD # 107-108",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867942",
            "telephone_number": "407-619-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MAGUIRE RD # 107-108",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867942",
            "telephone_number": "407-619-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "SOAUD",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-210762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortable Care Denta Health Professionals, PA (Dental Care at Westside Shoppes)
• Comfortable Care Dental Health Professionals (Dental Designs at Lakeside Village)
• Comfortable Care Dental Health Professionals, P.a. (Windermere Village Dental Care)
• Concierge Family Medical, LLC
• Yairimar Cordero Vazquez
• Corvia Cardiac Rehab LLC
• Stephanie Oliveira Cousins
• Isabel Cox
• John Cody Cox, MSN, ANCC FNP
• Kimberly Crestani, ARNP-C

• Behavior Technician in Windermere, FL
• Providers in Windermere, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.