Individual provider Active NPI

Sheila Beaton Fernandez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1750888533
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49613 Issued in FL
Practice address
3219 SW 63Rd Ave
Miami, FL 33155-3050
Phone
(786) 612-9113
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 1-21-49613 FL Primary

Addresses

Primary practice location

3219 SW 63Rd Ave
Miami, FL 33155-3050

Mailing address

3219 SW 63Rd Ave
Miami, FL 33155-3050
Phone (786) 612-9113

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

OrganizationSpecialtyStatusNew patients
Beaton Care Service Inc Behavior Analyst CurrentSince Sep 1, 2024 Accepting new patients
ABA Friends Inc Behavior Analyst Current Accepting new patients

Locations

4155 SW 130th Ave
Ste 211
Miami, FL 33175
Phone (305) 227-2278

14335 SW 120th St
Ste 110
Miami, FL 33186
Phone (786) 354-8500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1750888533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553050",
            "telephone_number": "786-612-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553050",
            "telephone_number": "786-612-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATON FERNANDEZ",
        "first_name": "SHEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-49613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.