Active NPI
Danica Wavney Thomas
- Behavior Technician
- Pompano Beach, FL
National Provider Identifier
1942960224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387 - Phone
- (305) 807-1909
- NPI assigned
- Dec 28, 2021
- 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 Technician | 106S00000X | FL | Primary | |
| Behavior Technician | 106S00000X | JUDR16 | FL | |
| Behavior Analyst | 103K00000X | FL |
Addresses
Primary practice location
3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Mailing address
2418 Funston St
Hollywood, FL 33020-5836
Phone (954) 588-8743
Other practice location 1
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (877) 418-2978
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | secuerecords.sanford.html |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JUDR16 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolving Minds Together LLC | 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.
-
- Community/Behavioral Health Agency
- Parkland, FL
- NPI 1851744692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1942960224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 FUNSTON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330205836",
"telephone_number": "954-588-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 OAKS WAY APT 904",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330695387",
"telephone_number": "305-807-1909"
}
],
"practiceLocations": [
{
"address_1": "500 Fairway Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411817",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "DANICA",
"middle_name": "WAVNEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "JUDR16",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "secuerecords.sanford.html",
"affiliation": "N",
"address_1": "3520 Oaks Way Apt 904",
"city": "Pompano Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330695387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.