Practical Behavior Solutions, LLC
Organization Active NPI Behavior Analyst · Dunnellon, FL
NPI 1043899396 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1043899396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- PRACTICAL BEHAVIOR SOLUTIONS, LLC
- Practice address
- 11808 N Ohio St
Dunnellon, FL 34431-6724 - Phone
- (352) 462-7021
- Fax
- (844) 921-1442
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Adrienne Renee Ellers, BCBA
- Title
- Ceo
- Phone
- (352) 462-7021
Practitioners 60
-
Adrienne Ellers, BCBA
-
Samantha Ellis, RBT
-
Inaya Harmon, RBT
National Provider Directory
Locations
20785 W McKinney Ave
Dunnellon, FL 34431
Phone (352) 342-5006
11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006
1317 SE 25th Loop
Ocala, FL 34471
Phone (352) 342-5006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
11808 N Ohio St
Dunnellon, FL 34431-6724
Mailing address
10424 SE 174TH PL
Summerfield, FL 34491-6963
Phone (352) 342-5006
Other practice location 1
1317 SE 25th Loop
Ocala, FL 34471-6193
Phone (352) 462-7021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108464700 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1043899396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10424 SE 174TH PL",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344916963",
"telephone_number": "352-342-5006",
"fax_number": "352-245-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 N OHIO ST",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344316724",
"telephone_number": "352-462-7021",
"fax_number": "844-921-1442"
}
],
"practiceLocations": [
{
"address_1": "1317 SE 25th Loop",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344716193",
"country_code": "US",
"telephone_number": "352-462-7021",
"fax_number": "844-921-1442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRACTICAL BEHAVIOR SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "ELLERS",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "352-462-7021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108464700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.