Anastasia Jean Baptiste, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58377 Issued in FL

Practice address

1060 W Sr 434 Ste 108
Longwood, FL 32750-4953

Phone

(407) 324-7772

Fax

(321) 248-0717

NPI assigned

Mar 11, 2022

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

Locations

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

• Blue Path ABA

  • Behavior Analyst
  • Longwood, FL
  • NPI 1891950671
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1093463705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W SR 434 STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504953",
            "telephone_number": "407-324-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W SR 434 STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504953",
            "telephone_number": "407-324-7772",
            "fax_number": "321-248-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10691 Regent Square Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328254533",
            "country_code": "US",
            "telephone_number": "239-738-0589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN BAPTISTE",
        "first_name": "ANASTASIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-58377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.