NPIMap

Organization Active NPI

Socially Significant Applied Behavior Analysis

  • Behavior Analyst
  • Palm Bay, FL
National Provider Identifier
1073135414
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SOCIALLY SIGNIFICANT APPLIED BEHAVIOR ANALYSIS
Practice address
148 Feldman St SE
Palm Bay, FL 32909-8968
Phone
(321) 750-9803
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Austen Andrew Owens, BCABANPI 1407308463
Title
Owner
Phone
(321) 750-9803

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

148 Feldman St SE
Palm Bay, FL 32909-8968

Mailing address

148 Feldman St SE
Palm Bay, FL 32909-8968
Phone (321) 750-9803

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1073135414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FELDMAN ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098968",
            "telephone_number": "321-750-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FELDMAN ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098968",
            "telephone_number": "321-750-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIALLY SIGNIFICANT APPLIED BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "AUSTEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-750-9803",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

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