Active NPI
Suheir Aljundi
- Behavior Analyst
- Port Orange, FL
National Provider Identifier
1790392017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12365162
- Practice address
- 823 Dunlawton Ave
Port Orange, FL 32127-4220 - Phone
- (877) 823-4283
- Fax
- (352) 332-8589
- NPI assigned
- Sep 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 12365162 | FL | Primary |
Addresses
Primary practice location
823 Dunlawton Ave
Port Orange, FL 32127-4220
Mailing address
745 Orienta Ave Ste 1011
Altamonte Springs, FL 32701-5675
Phone (877) 823-4283
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12365162 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Partners 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
- Altamonte Springs, FL
- NPI 1528617651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1790392017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 ORIENTA AVE STE 1011",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015675",
"telephone_number": "877-823-4283",
"fax_number": "352-332-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274220",
"telephone_number": "877-823-4283",
"fax_number": "352-332-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALJUNDI",
"first_name": "SUHEIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12365162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.