NPIMap

Organization Active NPI

Compass Behavioral & Developmental Consultants LLC

  • Behavior Analyst
  • Valdosta, GA
National Provider Identifier
1134553985
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0000083 Issued in FL
Legal business name
COMPASS BEHAVIORAL & DEVELOPMENTAL CONSULTANTS LLC
Practice address
2935 N Ashley St Ste 112
Valdosta, GA 31602-1788
Phone
(800) 832-9419
Fax
(855) 859-1671
NPI assigned
Aug 29, 2013
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Mr. Lyndon Peter Delrosario, BCABA
Title
General Partner
Phone
(800) 832-9419

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 0000083 FL Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 0051709 FL
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2935 N Ashley St Ste 112
Valdosta, GA 31602-1788

Mailing address

2225 Bemiss Rd
Suite D
Valdosta, GA 31602-4818
Phone (800) 832-9419

National Provider Directory

National Provider Directory

Locations

2225 Bemiss Rd
Ste D
Valdosta, GA 31602
Phone 8008329419 ext. 1

2935 N Ashley St
Ste 112
Valdosta, GA 31602

3121 N Oak Street Ext
Valdosta, GA 31602

Practitioners & affiliated clinicians

Practitioners 184

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 184

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1134553985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BEMISS RD",
            "address_2": "SUITE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024818",
            "telephone_number": "800-832-9419",
            "fax_number": "855-859-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 112",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021788",
            "telephone_number": "800-832-9419",
            "fax_number": "855-859-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS BEHAVIORAL & DEVELOPMENTAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "DELROSARIO",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "18008329419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0000083",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0051709",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.