Active NPI
Anne Sayre, BCBA
- Behavior Analyst
- Palm Coast, FL
National Provider Identifier
1841708310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2022
- 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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023557300 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Seasons ABA | Current | 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.
-
- Behavior Analyst
- Palm Coast, FL
- NPI 1558026476
-
- Developmentally Disabled Services Day Training Agency
- Palm Coast, FL
- NPI 1134727845
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.