Kahdija Bianka Faison, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F250502946840 Issued in FL

Practice address

1330 Winter Garden Vineland Rd
Winter Garden, FL 34787-4341

Phone

(407) 395-9976

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Metamorphosis Therapy LLC

  • Behavior Technician
  • Winter Garden, FL
  • NPI 1477008407
  NPD
• Metamorphosis Therapy, LLC

  • Speech-Language Pathologist
  • Winter Garden, FL
  • NPI 1942519103
  NPD

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1598206153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874341",
            "telephone_number": "407-395-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874341",
            "telephone_number": "407-395-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "KAHDIJA",
        "middle_name": "BIANKA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "F250502946840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Global Medical Services
• Express Pharmacy
• Extra Care City Pharmacy LLC (Extracare City Pharmacy)
• Eye Care Associates of Central Florida, P.a.
• Serena Faint, RBT
• Renee Fajardin, DDS
• Taylor Morgan Falcey, MA, CCC-SLP
• Priscilla Familia
• Family Medicine Institute Professional Limited Liability Company
• Destiny Fantauzzi, FNP-C

• Behavior Technician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.