Kelliann Sterrett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

19022 NE 29TH Ave
Aventura, FL 33180-2823

Phone

(305) 931-1617

NPI assigned

Feb 10, 2018

Last updated

Mar 6, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• David Lubin PHD

  • Developmentally Disabled Services Day Training Agency
  • Sunrise, FL
  • NPI 1326216979
  NPD (past)

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1598264012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 SE PINERO RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525326",
            "telephone_number": "772-475-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19022 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-931-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Sawgrass Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333256244",
            "country_code": "US",
            "telephone_number": "954-745-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERRETT",
        "first_name": "KELLIANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott A Stein, MD
• Rita Steiner, DMD
• Sterling Emergency Services of Miami Beach PA
• Randy Lipman Stern, LCSW
• Linda L. Sternau, MD
• Steven a Magilen MD PA
• Steven Wigdor O.D. P.a.
• Danielle Stier, PH.D.
• Michael D. Storch, M.D.
• Sheryl L Strasser, MD

• Behavior Technician in Aventura, FL
• Providers in Aventura, 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 6, 2020; 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.