Four Seasons ABA

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FOUR SEASONS ABA

Practice address

6 Meridian Home LN
Palm Coast, FL 32137-2402

Phone

(786) 351-4493

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Brant

Title

Ceo

Phone

(386) 603-4600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Elena Margaret Cruz

  • Behavior Technician
  • Palm Coast, FL
  • NPI 1417611724
  NPD
• Sullynet Echevarria Santiago

  • Behavior Technician
  • Palm Coast, FL
  • NPI 1053059394
  NPD
• Anne Sayre, BCBA

  • Behavior Analyst
  • Palm Coast, FL
  • NPI 1841708310
  NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1134727845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MERIDIAN HOME LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372402",
            "telephone_number": "786-351-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MERIDIAN HOME LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372402",
            "telephone_number": "786-351-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "BRANT",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-603-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlie Forbes, PT
• Forefront Chiropractic LLC (Forefront Spine & Sport)
• Forever Active Physical Therapy LLC
• Heather Foss
• Emily Griscom Foster, SW18303
• Frederick A Fox, DDS
• Joanne Sharon Francis, MD
• Linsey Monique Franco
• Jason Stanley Frederick, M.D.
• Eric William Freiler, DPM

• Developmentally Disabled Services Day Training Agency in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.