Active NPI
Nigina Nasirova
- Behavior Analyst
- Port Saint Lucie, FL
National Provider Identifier
1730828526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-76891
- Practice address
- 10272 S US Highway 1
Port Saint Lucie, FL 34952-5615 - Phone
- (772) 872-6940
- Fax
- (772) 209-6900
- NPI assigned
- Jun 1, 2022
- 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 | 1-24-76891 | FL | Primary |
Addresses
Primary practice location
10272 S US Highway 1
Port Saint Lucie, FL 34952-5615
Mailing address
1589 SW Flagami Rd
Port St Lucie, FL 34953-4343
Other practice location 1
2500 N Military Trl Ste 304
Boca Raton, FL 33431-6324
Phone (772) 362-9878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112708400 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weevolve, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Boca Raton, FL
- NPI 1760072136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1730828526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 SW FLAGAMI RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10272 S US HIGHWAY 1",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349525615",
"telephone_number": "772-872-6940",
"fax_number": "772-209-6900"
}
],
"practiceLocations": [
{
"address_1": "2500 N Military Trl Ste 304",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316324",
"country_code": "US",
"telephone_number": "772-362-9878",
"fax_number": "772-362-9879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASIROVA",
"first_name": "NIGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-76891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112708400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.