NPIMap

Organization Active NPI

Puttential, Inc

  • Behavior Analyst
  • Winter Garden, FL
National Provider Identifier
1003798166
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PUTTENTIAL, INC
Practice address
1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449
Phone
(407) 877-0029
Fax
(407) 358-5207
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Charity Le Antoinette Higgins
Title
Owner
Phone
(954) 594-2822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449

Mailing address

1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449
Phone (407) 877-0029

Other names 1

  • Kidz Therapy Zone Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kidz Therapy Zone3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1003798166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 WINTER GARDEN VINELAND RD STE 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874449",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WINTER GARDEN VINELAND RD STE 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874449",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTTENTIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "LE ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-594-2822"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Therapy Zone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidz Therapy Zone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.