Individual provider Active NPI

Joshua Hanstein

  • Behavior Technician
  • Daytona Beach, FL
National Provider Identifier
1124692934
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB670424 Issued in FL
Practice address
630 N Wild Olive Ave
Daytona Beach, FL 32118-3862
Phone
(386) 868-1979
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 BACB670424 FL Primary

Addresses

Primary practice location

630 N Wild Olive Ave
Daytona Beach, FL 32118-3862

Mailing address

112 E Villa Capri Cir Apt a
Deland, FL 32724-7856
Phone (201) 675-3339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joshuahanstein@fourseasonsaba.com Direct

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
BACB670424FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Puzzly ABA LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshuahanstein@fourseasonsaba.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1124692934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E VILLA CAPRI CIR APT A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247856",
            "telephone_number": "201-675-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N WILD OLIVE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183862",
            "telephone_number": "386-868-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSTEIN",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB670424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joshuahanstein@fourseasonsaba.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "630 N Wild Olive Ave",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321183862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.