Justin Beyer

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12514 Issued in NJ

Practice address

100 Guerrant St # 2242
Umatilla, FL 32784-8609

Phone

(609) 685-3973

NPI assigned

Aug 28, 2016

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Residential

  • Adult Development & Aging Psychologist
  • Southampton, NJ
  • NPI 1780216952
  NPD Authorized official
• Premiere Behavioral Supports

  • Community/Behavioral Health Agency
  • Largo, FL
  • NPI 1710402631
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1063968238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ELMWOOD RD N",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535503",
            "telephone_number": "609-685-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GUERRANT ST # 2242",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327848609",
            "telephone_number": "609-685-3973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Elmwood Rd N",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080535503",
            "country_code": "US",
            "telephone_number": "609-685-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYER",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-12-12514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acumen Clinical Services, Inc.
• Apex Imaging of Central Florida LLC
• Apex Imaging of Central Florida LLC
• Bailey's Transportation & Company Inc.
• Kathleen Bastone
• Jeffrey Stephen Boyd, PA - C
• Celesta Dawn Brosowsky
• Lea Ann Buffenbarger, OTR
• Derick Bugg, NCC
• Morgan Byrd, PHARMD

• Behavior Analyst in Umatilla, FL
• Providers in Umatilla, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.