Sana Nasiruddin, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-99473

Practice address

585 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3111

Phone

(850) 213-4596

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1891346714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593111",
            "telephone_number": "850-213-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIRUDDIN",
        "first_name": "SANA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-19-99473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sana@southwaltonacademy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "585 Mack Bayou Rd",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324593111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Mattson Murdock, APRN, D.C.
• Ashley Murray
• Stacy Musick, PHARMD
• Heather Edson Myers, MS, CCC-SLP
• N. David Hubbard, LMHC, PL
• Csilla H Nelson
• Jennifer L Nelson, CAREGIVER
• Kristen Nelson, OT
• Nexus DME LLC
• Kim Khanh Thi Nguyen, PHARM.D

• Behavior Technician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.