Active NPI
Sebastian Suarez
- Behavior Analyst
- Coral Springs, FL
National Provider Identifier
1972056919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2817 NW 91 Ave
Apt 101
Coral Springs, FL 33065 - Phone
- (786) 346-0605
- NPI assigned
- Jul 26, 2016
- Last updated
- Oct 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | FL | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2817 NW 91 Ave
Apt 101
Coral Springs, FL 33065
Mailing address
300 E Oakland Park Blvd # 341
Oakland Park, FL 33334-2148
Phone (786) 346-0605
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time 2 Launch Inc | Behavior Analyst | 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, 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": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1972056919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E OAKLAND PARK BLVD # 341",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342148",
"telephone_number": "786-346-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NW 91 AVE",
"address_2": "APT 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "786-346-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "SEBASTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2021-10-14",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.