NPIMap

Organization Active NPI

Easter Seals Southwest Florida Inc.

  • Behavior Analyst
  • Sarasota, FL
National Provider Identifier
1770097081
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EASTER SEALS SOUTHWEST FLORIDA INC.
Practice address
350 Braden Ave
Sarasota, FL 34243-2001
Phone
(407) 288-6368
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Tom Waters
Title
Ceo
Phone
(941) 355-7637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

350 Braden Ave
Sarasota, FL 34243-2001

Mailing address

350 Braden Ave
Sarasota, FL 34243-2001
Phone (407) 288-6368

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Southwest Florida7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 Fruitville Rd
Sarasota, FL 34237

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1770097081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BRADEN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432001",
            "telephone_number": "407-288-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BRADEN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432001",
            "telephone_number": "407-288-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS SOUTHWEST FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-355-7637"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.