Individual provider Active NPI

Vanessa Seron, CBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1881913267
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084513 Issued in FL
Practice address
5555 SW 93Rd Ave TRLR 1
Miami, FL 33165-6548
Phone
(305) 812-4610
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13799 FL
Behavior Analyst 103K00000X 1084513 FL Primary

Addresses

Primary practice location

5555 SW 93Rd Ave TRLR 1
Miami, FL 33165-6548

Mailing address

5555 SW 93Rd Ave TRLR 1
Miami, FL 33165-6548
Phone (305) 812-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1084513FLMDBehavioral Analyst
SW13799FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavior Consultants 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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1881913267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 SW 93RD AVE TRLR 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656548",
            "telephone_number": "305-812-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 SW 93RD AVE TRLR 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656548",
            "telephone_number": "305-812-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERON",
        "first_name": "VANESSA",
        "credential": "CBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13799",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1084513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.