NPIMap

Organization Active NPI

Missing Link Behavioral, LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1124430723
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MISSING LINK BEHAVIORAL, LLC
Practice address
12665 White Cedar TRL
Jacksonville, FL 32226-5032
Phone
(904) 535-0660
NPI assigned
May 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Kristen M DuffneyNPI 1750672333
Title
Owner
Phone
(904) 535-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12665 White Cedar TRL
Jacksonville, FL 32226-5032

Mailing address

12665 White Cedar TRL
Jacksonville, FL 32226-5032
Phone (904) 535-0660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1124430723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 WHITE CEDAR TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265032",
            "telephone_number": "904-535-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 WHITE CEDAR TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265032",
            "telephone_number": "904-535-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSING LINK BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "DUFFNEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-535-0660"
    },
    "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 Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.