Individual provider Active NPI

Susana Isakharova

  • Behavior Analyst
  • Hallandale Beach, FL
National Provider Identifier
1598026593
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1745 E Hallandale Beach Blvd Unit 1201W
Hallandale Beach, FL 33009-4664
Phone
(917) 671-7094
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1745 E Hallandale Beach Blvd Unit 1201W
Hallandale Beach, FL 33009-4664

Mailing address

203 SE 5TH St
Dania, FL 33004-4143
Phone (917) 671-7094

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Solutions 4 Life Inc Behavior Analyst CurrentSince Oct 9, 2022 Accepting new patients
Behavioral Therapy Abc, LLC Behavior Analyst Past Accepting new patients

Locations

900 NW 13th St
Ste 107A
Boca Raton, FL 33486
Phone (561) 705-7099

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1598026593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SE 5TH ST",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "330044143",
            "telephone_number": "917-671-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E HALLANDALE BEACH BLVD UNIT 1201W",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094664",
            "telephone_number": "917-671-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKHAROVA",
        "first_name": "SUSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.