Ytamar Segall, MA, BCBA
Individual provider Active NPI Behavior Analyst · Surfside, FL
NPI 1558816645 · NPPES record last updated Jun 22, 2020
Key facts
- NPI
- 1558816645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-29543
- Practice address
- 624 91St St
Surfside, FL 33154-3131 - Phone
- (702) 374-7148
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT1624285 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Applied Behavior Analysis | Current |
Accepting new patients | |
| Partners in Behavior | Behavior Analyst | Current |
Accepting new patients |
| New Patterns FL LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-17-8022 | NV | |
| Behavior Technician | 106S00000X | RBT1624285 | NV | |
| Behavior Analyst | 103K00000X | 1-18-29543 | Yes |
Addresses
Primary practice location
624 91St St
Surfside, FL 33154-3131
Mailing address
624 91St St
Surfside, FL 33154-3131
Phone (702) 374-7148
Other practice location 1
408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 496-1367
Other providers in Surfside, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.