Active NPI
Anastasia Jean Baptiste, BCBA
- Behavior Analyst
- Longwood, FL
National Provider Identifier
1093463705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58377
- 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
- Last updated
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-58377 | FL | Primary |
Addresses
Primary practice location
1060 W Sr 434 Ste 108
Longwood, FL 32750-4953
Mailing address
1060 W Sr 434 Ste 108
Longwood, FL 32750-4953
Phone (407) 324-7772
Other practice location 1
10691 Regent Square Dr
Orlando, FL 32825-4533
Phone (239) 738-0589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Path ABA | Behavior Analyst | Current | Accepting new patients |
Locations
1060 W State Road 434
Ste 108
Longwood, FL 32750
Phone (407) 260-0551
Organizations & group practices 1
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.
NPI Registry JSON
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": []
}
Other providers in Longwood, FL
Sources for this page
- 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.