Individual provider Active NPI

Vanessa Grow

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1912416348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10300 Sunset Dr Ste 114
Miami, FL 33173
Phone
(305) 508-5580
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

10300 Sunset Dr Ste 114
Miami, FL 33173

Mailing address

10300 Sunset Dr Ste 114
Miami, FL 33173-3038
Phone (305) 508-5580

Other practice location 1

7789 NW 146th St
Miami Lakes, FL 33016-1567
Phone (305) 824-0230

Other practice location 2

7789 NW 146th St
Miami Lakes, FL 33016-1567
Phone (305) 824-0230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912416348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733038",
            "telephone_number": "305-508-5580",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-508-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7789 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "305-824-0230",
            "fax_number": "305-824-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7789 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "305-824-0230",
            "fax_number": "305-824-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROW",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.