Individual provider Active NPI

Sara Richardson, MS/BCBA

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1679809073
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5292 Issued in FL
Practice address
18495 S Dixie Hwy # 345
Cutler Bay, FL 33157-6817
Phone
(305) 812-0188
Fax
(305) 256-9935
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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 1-09-5292 FL Primary

Addresses

Primary practice location

18495 S Dixie Hwy # 345
Cutler Bay, FL 33157-6817

Mailing address

8930 Caribbean Blvd
Cutler Bay, FL 33157-7147
Phone (305) 812-0188

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1679809073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 CARIBBEAN BLVD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577147",
            "telephone_number": "305-812-0188",
            "fax_number": "305-256-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18495 S DIXIE HWY # 345",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576817",
            "telephone_number": "305-812-0188",
            "fax_number": "305-256-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "MS/BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-09-5292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.