NPIMap

Organization Active NPI

I'Mpossible Behavior Services

  • Behavior Analyst
  • Cocoa, FL
National Provider Identifier
1073129839
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
I'MPOSSIBLE BEHAVIOR SERVICES
Practice address
5500 N Highway 1
Cocoa, FL 32927-6006
Phone
(321) 506-7999
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Melody M Autry, BCBANPI 1689113185
Title
Owner
Phone
(321) 506-7999

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 Analyst 103K00000X Primary

Addresses

Primary practice location

5500 N Highway 1
Cocoa, FL 32927-6006

Mailing address

3709 Warwick Dr
Cocoa, FL 32926-8739
Phone (321) 506-7999

National Provider Directory

National Provider Directory

Locations

5500 N US Highway 1
Cocoa, FL 32927
Phone (321) 349-0343

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": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1073129839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 WARWICK DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329268739",
            "telephone_number": "321-506-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329276006",
            "telephone_number": "321-506-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I'MPOSSIBLE BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "AUTRY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-506-7999",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.