Individual provider Active NPI

Ernesto Morejon Sosa, BCBA

  • Behavior Analyst
  • Henderson, NV
National Provider Identifier
1518489368
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-41172 Issued in FL
Practice address
1767 Quiver Point Ave
Henderson, NV 89012-3482
Phone
(239) 378-0504
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-41172 FL Primary

Addresses

Primary practice location

1767 Quiver Point Ave
Henderson, NV 89012-3482

Mailing address

1767 Quiver Point Ave
Henderson, NV 89012-3482
Phone (239) 378-0504

Other practice location 1

1222 SE 47th St Ste 215
Cape Coral, FL 33904-9679
Phone (239) 276-2964

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1518489368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 QUIVER POINT AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123482",
            "telephone_number": "239-378-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 QUIVER POINT AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123482",
            "telephone_number": "239-378-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 SE 47th St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339049679",
            "country_code": "US",
            "telephone_number": "239-276-2964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREJON SOSA",
        "first_name": "ERNESTO",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-41172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.