Natasha Faye Heaselgrave, MSC., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25532 Issued in FL

Practice address

403 SW 103Rd Ave Apt 304
Pembroke Pines, FL 33025-1881

Phone

(954) 330-7611

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Behavior Change, LLC

  • Behavior Analyst
  • Pembroke Pines, FL
  • NPI 1528601069
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1073154118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SW 103RD AVE APT 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251881",
            "telephone_number": "954-330-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SW 103RD AVE APT 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251881",
            "telephone_number": "954-330-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASELGRAVE",
        "first_name": "NATASHA",
        "middle_name": "FAYE",
        "name_prefix": "Miss",
        "credential": "MSC., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-25532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeana Marie Heinz, P.A.

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.