Organization Active NPI

Pinnacle Behavior Therapy, LLC

  • Early Intervention Provider Agency
  • Jacksonville, FL
National Provider Identifier
1013423201
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PINNACLE BEHAVIOR THERAPY, LLC
Practice address
8539 Gate Pkwy W Unit 9311
Jacksonville, FL 32216-1040
Phone
(904) 600-4664
NPI assigned
Dec 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Nina Deese, BCBANPI 1275972994
Title
Owner/Founder
Phone
(904) 600-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

8539 Gate Pkwy W Unit 9311
Jacksonville, FL 32216-1040

Mailing address

8539 Gate Pkwy W Unit 9311
Jacksonville, FL 32216-1040

National Provider Directory

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": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1013423201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161040",
            "telephone_number": "904-600-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE BEHAVIOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "904-600-4664",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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