Individual provider Active NPI

Samintha Cyndy Jeudy

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1669143657
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-90171 Issued in FL
Practice address
2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870
Phone
(754) 264-8779
NPI assigned
Sep 21, 2021
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-90171 FL Primary
Behavior Technician 106S00000X RBT-21-189059 FL

Addresses

Primary practice location

2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870

Mailing address

6342 Polk St
Hollywood, FL 33024-7730
Phone (754) 245-7696

Other practice location 1

7301A W Palmetto Park Rd Unit 100
Boca Raton, FL 33433-3409
Phone (954) 248-1171

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
Behavioral Initiatives, LLC Behavior Analyst PastSince Feb 1, 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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1669143657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 POLK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247730",
            "telephone_number": "754-245-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH AVE STE 2112",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282870",
            "telephone_number": "754-264-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301A W Palmetto Park Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333409",
            "country_code": "US",
            "telephone_number": "954-248-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEUDY",
        "first_name": "SAMINTHA",
        "middle_name": "CYNDY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-90171",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-189059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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