Active NPI
Rebecca Geis, BCBA
- Behavior Analyst
- Yulee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 87009 Professional Way
Yulee, FL 32097-3400 - Phone
- (904) 849-7179
- NPI assigned
- Apr 14, 2016
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
87009 Professional Way
Yulee, FL 32097-3400
Mailing address
1021 McDowell St
Saint Marys, GA 31558-9036
Phone (912) 227-5200
Other practice location 1
921 Charlie Smith SR Hwy
Saint Marys, GA 31558-2834
Phone (904) 538-0714
Other practice location 2
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone (855) 832-6727
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Haven Consulting LLC | Behavior Analyst | Current | Accepting new patients |
| Victorious Learning, LLC | Behavior Analyst | Current | Accepting new patients |
| Applied Behavioral Strategies, LLC | Behavior Analyst | Past | Accepting new patients |
| Georgia a. Hall Behavior Consulting Services, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
87009 Professional Way
Yulee, FL 32097
Phone (904) 544-5276
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Yulee, FL
- NPI 1710779889
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Yulee, FL
- NPI 1427460161
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Fairfield, CT
- NPI 1396048583
-
dba Bloom and Thrive ABA
- Behavior Analyst
- Kilmarnock, VA
- NPI 1902682800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622851200000",
"number": "1023462140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 MCDOWELL ST",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315589036",
"telephone_number": "912-227-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87009 PROFESSIONAL WAY",
"city": "YULEE",
"state": "FL",
"postal_code": "320973400",
"telephone_number": "904-849-7179"
}
],
"practiceLocations": [
{
"address_1": "921 Charlie Smith SR Hwy",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "GA",
"postal_code": "315582834",
"country_code": "US",
"telephone_number": "904-538-0714",
"fax_number": "904-538-0714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12724 Gran Bay Pkwy W Ste 410",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322589486",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEIS",
"first_name": "REBECCA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2021-06-05",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.