Active NPI
Rithly Joachim
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1104363399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12147622
- Practice address
- 4150 Ford St Ste 4
Fort Myers, FL 33916-9498 - Phone
- (239) 291-5088
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12147622 | FL | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
4150 Ford St Ste 4
Fort Myers, FL 33916-9498
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1408 Shady Tree Way
Chesapeake, VA 23323-2942
Phone (038) 840-0676
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12147622 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above and Beyond ABA Consulting LLC | Behavior Analyst | Current | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Chesapeake, VA
- NPI 1710742226
-
- Behavior Analyst
- University Park, FL
- NPI 1700461704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1104363399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 FORD ST STE 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169498",
"telephone_number": "239-291-5088"
}
],
"practiceLocations": [
{
"address_1": "1408 Shady Tree Way",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233232942",
"country_code": "US",
"telephone_number": "038-840-0676",
"fax_number": "815-527-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOACHIM",
"first_name": "RITHLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12147622",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.