Individual provider Active NPI

Anne Sayre, BCBA

  • Behavior Analyst
  • Palm Coast, FL
National Provider Identifier
1841708310
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40006
Practice address
6 Meridian Home LN
Palm Coast, FL 32137-2402
Phone
(386) 603-4600
NPI assigned
Jan 17, 2018
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-40006 Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

6 Meridian Home LN
Palm Coast, FL 32137-2402

Mailing address

6 Meridian Home LN
Palm Coast, FL 32137-2402
Phone (386) 603-4600

Other practice location 1

1575 Detrick Ave
Deland, FL 32724-2042
Phone (386) 603-4600

Other identifiers 1

IdentifierTypeStateIssuer
023557300MedicaidFL

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
Four Seasons ABA CurrentSince Apr 11, 2021 Accepting new patients
Anne Sayre Behavioral Therapy LLC Behavior Analyst Current Accepting new patients

Locations

6 Meridian Home Ln
Palm Coast, FL 32137
Phone (386) 569-0031

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1841708310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MERIDIAN HOME LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372402",
            "telephone_number": "386-603-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MERIDIAN HOME LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372402",
            "telephone_number": "386-603-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Detrick Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327242042",
            "country_code": "US",
            "telephone_number": "386-603-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-40006",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023557300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.