Individual provider Active NPI

Christine Marie Seda, M.A,BEHAVIOR ANALYST

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1902231715
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12153588 Issued in FL
Practice address
2897 Picadilly Cir
Kissimmee, FL 34747-1638
Phone
(407) 785-8196
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004859 PR
Developmental Therapist 222Q00000X
Speech-Language Assistant 2355S0801X
Behavior Analyst 103K00000X 12153588 FL Primary

Addresses

Primary practice location

2897 Picadilly Cir
Kissimmee, FL 34747-1638

Mailing address

476 Cardinal CT
Kissimmee, FL 34759-4423
Phone (407) 785-8196

Other practice location 1

476 Cardinal Ct
Kissimmee, FL 34759-4423
Phone (407) 785-8196

Other identifiers 1

IdentifierTypeStateIssuer
003964300MedicaidFL

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
004859PRMDMental Health Counselor
12153588FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Tower Behavior Analyst Current Accepting new patients
Kids Therapy Tower Behavior Analyst Current Accepting new patients

Organizations & group practices 3

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1902231715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 CARDINAL CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594423",
            "telephone_number": "407-785-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 PICADILLY CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471638",
            "telephone_number": "407-785-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "476 Cardinal Ct",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347594423",
            "country_code": "US",
            "telephone_number": "407-785-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A,BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "004859",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12153588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003964300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.