Active NPI
Bonnie Faye Newman
- Behavior Technician
- Stuart, FL
National Provider Identifier
1508581141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 793352
- Practice address
- 850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019 - Phone
- (771) 362-9878
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 793352 | FL | Primary |
Addresses
Primary practice location
850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Mailing address
709 Hillcrest Blvd
West Palm Beach, FL 33405-1805
Phone (561) 779-0185
Other practice location 1
13195 SW 134th St Ste 201
Miami, FL 33186-4585
Phone (786) 206-6500 ext. 201
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 |
|---|---|---|---|
| 793352 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1508581141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 HILLCREST BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334051805",
"telephone_number": "561-779-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 NW FEDERAL HWY STE 173",
"city": "STUART",
"state": "FL",
"postal_code": "349941019",
"telephone_number": "771-362-9878"
}
],
"practiceLocations": [
{
"address_1": "13195 SW 134th St Ste 201",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331864585",
"country_code": "US",
"telephone_number": "786-206-6500 x201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "BONNIE",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "793352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.