NPIMap

Organization Active NPI

Time 2 Launch Inc

  • Behavior Analyst
  • West Park, FL
National Provider Identifier
1134818362
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TIME 2 LAUNCH INC
Practice address
3832 SW 33Rd CT
West Park, FL 33023-5631
Phone
(262) 707-3257
Fax
(954) 838-5358
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Mr. William A. PurcellNPI 1205370640
Title
President, Ceo, Chief Operations
Phone
(203) 247-9453

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3832 SW 33Rd CT
West Park, FL 33023-5631

Mailing address

3832 SW 33Rd CT
West Park, FL 33023-5631
Phone (262) 707-3257

Other identifiers 3

IdentifierTypeStateIssuer
003245829AMedicaidGA
103590400MedicaidFL
023138100MedicaidFL

Other names 1

  • My Time 2 Launch Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Riverside Pkwy
Ste 1023
Lawrenceville, GA 30043

Practitioners & affiliated clinicians

Practitioners 7

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1134818362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 SW 33RD CT",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235631",
            "telephone_number": "262-707-3257",
            "fax_number": "954-838-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 SW 33RD CT",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235631",
            "telephone_number": "262-707-3257",
            "fax_number": "954-838-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME 2 LAUNCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT, CEO, CHIEF OPERATIONS",
        "authorized_official_telephone_number": "203-247-9453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003245829A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103590400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023138100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Time 2 Launch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.