Organization Active NPI

Florida Autism Consultants and Educational Services

  • Behavior Analyst
  • Orange Park, FL
National Provider Identifier
1003127481
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1020737 Issued in FL
Legal business name
FLORIDA AUTISM CONSULTANTS AND EDUCATIONAL SERVICES
Practice address
36 Knight Boxx Rd
Orange Park, FL 32065-7327
Phone
(904) 210-2556
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Mae R. Barker, PHD, BCBA-D
Title
Senior Behavior Analyst
Phone
(904) 210-2556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1020737 FL Primary

Addresses

Primary practice location

36 Knight Boxx Rd
Orange Park, FL 32065-7327

Mailing address

PO Box 65812
Orange Park, FL 32065-0014
Phone (904) 210-2556

National Provider Directory

National Provider Directory

Locations

36 Knight Boxx Rd
Orange Park, FL 32065
Phone (904) 210-2556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1003127481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65812",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650014",
            "telephone_number": "904-210-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KNIGHT BOXX RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657327",
            "telephone_number": "904-210-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AUTISM CONSULTANTS AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "MAE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "904-210-2556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1020737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.