Active NPI
Taisha Altidor
- Behavior Analyst
- Davie, FL
National Provider Identifier
1720639636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5400 S University Dr Ste 502
Davie, FL 33328-5313 - Phone
- (888) 875-4039
- NPI assigned
- Sep 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | FL | Primary |
Addresses
Primary practice location
5400 S University Dr Ste 502
Davie, FL 33328-5313
Mailing address
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone (800) 356-4049
Other practice location 1
13650 NW 8th St Ste 109
Sunrise, FL 33325-6239
Phone (888) 875-4039 ext. 1028
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": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1720639636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 N DALE MABRY HWY STE C-100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184426",
"telephone_number": "800-356-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 502",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285313",
"telephone_number": "888-875-4039"
}
],
"practiceLocations": [
{
"address_1": "13650 NW 8th St Ste 109",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333256239",
"country_code": "US",
"telephone_number": "888-875-4039 x1028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTIDOR",
"first_name": "TAISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.