Individual provider Active NPI

Shateria Brinae Denton

  • Assistant Behavior Analyst
  • Stuart, FL
National Provider Identifier
1831649136
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
9150 SW 21St Dr
Stuart, FL 34997
Phone
(772) 349-2483
NPI assigned
Oct 11, 2016
Reactivated
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

9150 SW 21St Dr
Stuart, FL 34997

Mailing address

9150 SW 21St Dr
Stuart, FL 34997-7925

Other practice location 1

2218 Mahan Dr
Tallahassee, FL 32308-6127
Phone (850) 320-6555

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
Cayer Behavioral Group, Inc Past Accepting new patients
Cayer Behavioral Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1831649136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 21ST DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 21ST DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-349-2483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2218 Mahan Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323086127",
            "country_code": "US",
            "telephone_number": "850-320-6555",
            "fax_number": "888-873-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "SHATERIA",
        "middle_name": "BRINAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "deactivation_date": "2018-01-19",
        "reactivation_date": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.