Individual provider Active NPI

Cheryl Reiser

  • Behavior Analyst
  • Daytona Beach Shores, FL
National Provider Identifier
1609006501
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
03-31-2000 Issued in FL
Practice address
3408 S Atlantic Ave # 1052
Daytona Beach Shores, FL 32118-6311
Phone
(386) 767-3719
Fax
(386) 767-4319
NPI assigned
Jul 26, 2009
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 03-31-2000 FL Primary

Addresses

Primary practice location

3408 S Atlantic Ave # 1052
Daytona Beach Shores, FL 32118-6311

Mailing address

3408 S Atlantic Ave # 1052
Daytona Beach Shores, FL 32118-6311
Phone (386) 767-3719

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
Strategies, Inc. Behavior Analysis & Therapeutic Services Behavior Analyst PastSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1609006501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 S ATLANTIC AVE # 1052",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186311",
            "telephone_number": "386-767-3719",
            "fax_number": "386-767-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 S ATLANTIC AVE # 1052",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186311",
            "telephone_number": "386-767-3719",
            "fax_number": "386-767-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISER",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "03-31-2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.