NPIMap

Organization Active NPI

Gentle Behavior Services, LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1053192674
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GENTLE BEHAVIOR SERVICES, LLC
Practice address
13542 N Florida Ave Ste 211D
Tampa, FL 33613-3200
Phone
(813) 369-0724
Fax
(813) 200-2070
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Vanessa RodriguezNPI 1194579839
Title
Adm/Owner
Phone
(813) 369-0724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

13542 N Florida Ave Ste 211D
Tampa, FL 33613-3200

Mailing address

2609 W Lutz Lake Fern Rd
Lutz, FL 33558-4998
Phone (813) 369-0724

National Provider Directory

National Provider Directory

Locations

13542 N Florida Ave
Ste 211D
Tampa, FL 33613
Phone (813) 369-0724

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1053192674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W LUTZ LAKE FERN RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584998",
            "telephone_number": "813-369-0724",
            "fax_number": "813-200-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13542 N FLORIDA AVE STE 211D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133200",
            "telephone_number": "813-369-0724",
            "fax_number": "813-200-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "ADM/OWNER",
        "authorized_official_telephone_number": "813-369-0724"
    },
    "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 Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.