Active NPI
Pinnacle Behavior Therapy, LLC
- Early Intervention Provider Agency
- Jacksonville, FL
National Provider Identifier
1013423201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nina Deese, BCBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Jacksonville, FL
- NPI 1275972994
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.