Active NPI
Kiara R Savannah
- Behavior Technician
- Palm Bay, FL
National Provider Identifier
1932661774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2180 Julian Ave NE
Palm Bay, FL 32905-4020 - Phone
- (321) 345-0861
- NPI assigned
- Apr 2, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2180 Julian Ave NE
Palm Bay, FL 32905-4020
Mailing address
125 E Nasa Blvd
Melbourne, FL 32901-1900
Other practice location 1
2604 Campobello Ave
North Las Vegas, NV 89081-2423
Phone (702) 503-5462
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1932661774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E NASA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JULIAN AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054020",
"telephone_number": "321-345-0861"
}
],
"practiceLocations": [
{
"address_1": "2604 Campobello Ave",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890812423",
"country_code": "US",
"telephone_number": "702-503-5462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAVANNAH",
"first_name": "KIARA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2022-10-13",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.