Organization Active NPI

Roe & Associates Integrated Behavior Supports, Inc.

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1063715506
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROE & ASSOCIATES INTEGRATED BEHAVIOR SUPPORTS, INC.
Practice address
300 31St St N Ste 230
Saint Petersburg, FL 33713-7623
Phone
(727) 327-2457
Fax
(727) 322-9839
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Ms. Selena Ann Roe, MS, BCBA
Title
President
Phone
(727) 327-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

300 31St St N Ste 230
Saint Petersburg, FL 33713-7623

Mailing address

300 31St St N Ste 230
Saint Petersburg, FL 33713-7623
Phone (727) 327-2457

Other identifiers 2

IdentifierTypeStateIssuer
678552296OtherFLMEDICAID WAIVER
678552298OtherFLMEDICAID WAIVER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1063715506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 31ST ST N STE 230",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137623",
            "telephone_number": "727-327-2457",
            "fax_number": "727-322-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 31ST ST N STE 230",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137623",
            "telephone_number": "727-327-2457",
            "fax_number": "727-322-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROE & ASSOCIATES INTEGRATED BEHAVIOR SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-327-2457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "678552296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "678552298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.