Individual provider Active NPI

Neal Blaher

  • Behavior Technician
  • Altamonte Springs, FL
National Provider Identifier
1114657590
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT19-790001 Issued in FL
Practice address
706 Turnbull Ave Ste 204
Altamonte Springs, FL 32701-6476
Phone
(407) 620-5036
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT19-790001 FL Primary

Addresses

Primary practice location

706 Turnbull Ave Ste 204
Altamonte Springs, FL 32701-6476

Mailing address

PO Box 180008
Casselberry, FL 32718-0008
Phone (407) 620-5036

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

LicenseStateTypeSpecialty
RBT19-790001FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1114657590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180008",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327180008",
            "telephone_number": "407-620-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 TURNBULL AVE STE 204",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016476",
            "telephone_number": "407-620-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHER",
        "first_name": "NEAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT19-790001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.