NPIMap

Organization Active NPI

FST Behavioral

  • Behavior Analyst
  • Leesburg, FL
National Provider Identifier
1114733581
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FST BEHAVIORAL
Practice address
606 S 9TH St
Leesburg, FL 34748-6320
Phone
(800) 378-7597
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Federico Nicholas
Title
Coo
Phone
(407) 530-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

606 S 9TH St
Leesburg, FL 34748-6320

Mailing address

1650 Sand Lake Rd Ste 230
Orlando, FL 32809-9138

National Provider Directory

National Provider Directory
Tax ID family
FST Behavioral11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1114733581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S 9TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486320",
            "telephone_number": "800-378-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FST BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-530-5063"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.