Active NPI
Michelle Horne
- Behavior Technician
- Pensacola, FL
National Provider Identifier
1003574039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9900 N. Davis Hwy. Proud Moments ABA Dba Spectrum House
Pensacola, FL 32514 - Phone
- (850) 607-6910
- Fax
- (850) 607-6932
- NPI assigned
- Dec 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
9900 N. Davis Hwy. Proud Moments ABA Dba Spectrum House
Pensacola, FL 32514
Mailing address
9900 N. Davis Hwy. Proud Moments ABA Dba Spectrum House
Pensacola, FL 32514
Phone (850) 607-6910
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": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1003574039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 N. DAVIS HWY. PROUD MOMENTS ABA DBA SPECTRUM HOUSE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-607-6910",
"fax_number": "850-607-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 N. DAVIS HWY. PROUD MOMENTS ABA DBA SPECTRUM HOUSE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-607-6910",
"fax_number": "850-607-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.