Active NPI
Victoria Sartain Gagnon, BCBA
- Behavior Analyst
- Deerfield Beach, FL
National Provider Identifier
1609342997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 350 Fairway Dr.
Ste 101
Deerfield Beach, FL 33441 - Phone
- (954) 603-7885
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
350 Fairway Dr.
Ste 101
Deerfield Beach, FL 33441
Mailing address
350 Fairway Dr.
Ste 101
Deerfield Beach, FL 33441
Phone (954) 603-7885
Other practice location 1
166 Professional Way
Wellington, FL 33414-6391
Phone (561) 570-1860
Other practice location 2
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270
Other practice location 3
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270
Other practice location 4
2979 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410
Phone (561) 260-5900
Other practice location 5
247 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5015
Phone (772) 207-1356
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1609342997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR.",
"address_2": "STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "954-603-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR.",
"address_2": "STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "954-603-7885"
}
],
"practiceLocations": [
{
"address_1": "166 Professional Way",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334146391",
"country_code": "US",
"telephone_number": "561-570-1860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Fairway Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411817",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Fairway Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411817",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2979 Pga Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "33410",
"country_code": "US",
"telephone_number": "561-260-5900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "247 SW Port St Lucie Blvd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349845015",
"country_code": "US",
"telephone_number": "772-207-1356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNON",
"first_name": "VICTORIA",
"middle_name": "SARTAIN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"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 Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.