Individual provider Active NPI

Ginna Sarai Velo Nazario

  • Behavior Analyst
  • Lauderdale Lakes, FL
National Provider Identifier
1619735602
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB1-25-81969 Issued in IL
Practice address
4620 North Lake Rd 7
Suite 300
Lauderdale Lakes, FL 33309
Phone
(561) 895-6078
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 BACB1-25-81969 IL Primary

Addresses

Primary practice location

4620 North Lake Rd 7
Suite 300
Lauderdale Lakes, FL 33309

Mailing address

1300 Remington Rd Ste K
Schaumburg, IL 60173-4800

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
Bys Speech and Occupational Therapy Services, LLC Behavior Analyst PastSince Mar 17, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1619735602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 REMINGTON RD STE K",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 NORTH LAKE RD 7",
            "address_2": "SUITE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "561-895-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELO NAZARIO",
        "first_name": "GINNA",
        "middle_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "BACB1-25-81969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.