Active NPI
Sarah A. Perruccio, BCBA
- Behavior Analyst
- Saint Petersburg, FL
National Provider Identifier
1700199395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20013
- Practice address
- 7901 4TH St N Ste 318
Saint Petersburg, FL 33702-4305 - Phone
- (727) 327-5222
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-15-20013 | Primary |
Addresses
Primary practice location
7901 4TH St N Ste 318
Saint Petersburg, FL 33702-4305
Mailing address
3300 26TH St N
St Petersburg, FL 33713-2730
Phone (860) 930-8644
Other practice location 1
3258 Parkside Center Cir
Tampa, FL 33619-0907
Phone (860) 930-8644
Other practice location 2
2552 1st Ave N
Saint Petersburg, FL 33713-8702
Phone (727) 327-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019569800 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1700199395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 26TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337132730",
"telephone_number": "860-930-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 318",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "727-327-5222"
}
],
"practiceLocations": [
{
"address_1": "3258 Parkside Center Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336190907",
"country_code": "US",
"telephone_number": "860-930-8644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2552 1st Ave N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337138702",
"country_code": "US",
"telephone_number": "727-327-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRUCCIO",
"first_name": "SARAH",
"middle_name": "A.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-20013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019569800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.