Individual provider Active NPI

Sarah Elizabeth Sieg, BCBA

  • Behavior Analyst
  • Deland, FL
National Provider Identifier
1750934378
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37744 Issued in FL
Practice address
247 W Voorhis Ave
Deland, FL 32720-5432
Phone
(386) 795-5695
Fax
(386) 777-3850
NPI assigned
Jul 23, 2019
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 1-19-37744 FL Primary

Addresses

Primary practice location

247 W Voorhis Ave
Deland, FL 32720-5432

Mailing address

1725 Mercers Fernery Rd
Deland, FL 32720-2166
Phone (386) 804-2557

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
Specialized ABA, LLC Behavior Analyst CurrentSince Sep 1, 2022 Accepting new patients

Locations

247 W Voorhis Ave
Deland, FL 32720
Phone (386) 740-3839

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, 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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1750934378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MERCERS FERNERY RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202166",
            "telephone_number": "386-804-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W VOORHIS AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205432",
            "telephone_number": "386-795-5695",
            "fax_number": "386-777-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEG",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-37744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.