Individual provider Active NPI

Sara South, RBT

  • Behavior Technician
  • Saint Petersburg, FL
National Provider Identifier
1710784657
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-414309 Issued in FL
Practice address
3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400
Phone
(727) 231-0011
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-414309 FL Primary

Addresses

Primary practice location

3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400

Mailing address

3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400
Phone (727) 231-0011

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

State licenses

LicenseStateTypeSpecialty
RBT-25-414309FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Change Corp CurrentSince Mar 11, 2025 Accepting new patients

Locations

3375 34th St N
Ste 206
Saint Petersburg, FL 33713
Phone (727) 231-0011

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1710784657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 34TH ST N STE 206",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337132400",
            "telephone_number": "727-231-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 34TH ST N STE 206",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337132400",
            "telephone_number": "727-231-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "SARA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-414309",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 11, 2025; 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.