Active NPI
Sarah D'Ambra, MS, BCBA
- Behavior Analyst
- Stuart, FL
National Provider Identifier
1679673149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-14485
- Practice address
- 2400 SE Federal Hwy Ste 220
Stuart, FL 34994-4556 - Phone
- (772) 678-6704
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Behavior Analyst | 103K00000X | 1-13-14485 | FL | Primary |
Addresses
Primary practice location
2400 SE Federal Hwy Ste 220
Stuart, FL 34994-4556
Mailing address
6400 Tropical Way
Vero Beach, FL 32967-5269
Phone (772) 538-1009
Other practice location 1
777 37th St
Suite C-101
Vero Beach, FL 32960-4873
Phone (772) 778-7217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021236700 | Medicaid | FL | |
| 7653964 00 | Medicaid | FL |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679673149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 TROPICAL WAY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329675269",
"telephone_number": "772-538-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SE FEDERAL HWY STE 220",
"city": "STUART",
"state": "FL",
"postal_code": "349944556",
"telephone_number": "772-678-6704"
}
],
"practiceLocations": [
{
"address_1": "777 37th St",
"address_2": "Suite C-101",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329604873",
"country_code": "US",
"telephone_number": "772-778-7217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AMBRA",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-13-14485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021236700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7653964 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.