Active NPI
Emily Fasnacht
- Behavior Technician
- New Port Richey, FL
National Provider Identifier
1023663093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-4869-07560
- Practice address
- 7793 Hardaway Dr Apt D
New Port Richey, FL 34653-6879 - Phone
- (727) 967-4597
- NPI assigned
- Aug 7, 2019
- Last updated
- Aug 7, 2019
- 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 | 15-4869-07560 | Primary |
Addresses
Primary practice location
7793 Hardaway Dr Apt D
New Port Richey, FL 34653-6879
Mailing address
7793 Hardaway Dr Apt D
New Port Richey, FL 34653-6879
Phone (727) 967-4597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-4869-07560 | Other | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
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": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1023663093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7793 HARDAWAY DR APT D",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536879",
"telephone_number": "727-967-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7793 HARDAWAY DR APT D",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536879",
"telephone_number": "727-967-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASNACHT",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "15-4869-07560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
"identifier": "15-4869-07560",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.