NPIMap

Organization Active NPI

Practical Behavior Solutions, LLC

  • Behavior Analyst
  • Dunnellon, FL
National Provider Identifier
1043899396
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 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
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. Adrienne Renee Ellers, BCBANPI 1124546098
Title
Ceo
Phone
(352) 462-7021

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

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

National Provider Directory

National Provider Directory

Locations

11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006

20785 W McKinney Ave
Dunnellon, FL 34431
Phone (352) 342-5006

1317 SE 25th Loop
Ocala, FL 34471
Phone (352) 342-5006

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.