Elizabeth Irene Hart, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-17-35933 Issued in FL

Practice address

116 4TH St SE
Fort Walton Beach, FL 32548-5425

Phone

(850) 368-9373

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Beth Irene Hart Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1003336462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PINE MOSS DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486307",
            "telephone_number": "850-496-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 4TH ST SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485425",
            "telephone_number": "850-368-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ELIZABETH",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-35933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HART",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "RBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kylie Harris
• Lindsay Harris, APRN
• Precious Harris, OT
• Brooke L Harrison, LMHC
• Patricia Harrison, M D
• Steven John Hart, M.D.
• Meghan Laura Hartline
• Hatchlings Academy, LLC
• Rattanavalee Jansod Havlat, APRN
• Amber Marie Hayes, PMHNP

• Behavior Technician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.