Active NPI
Gregory Ammons
- Behavior Analyst
- Fort Walton Beach, FL
National Provider Identifier
1144670423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- QASP-S-14981
- Practice address
- 419 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612 - Phone
- (850) 862-3728
- NPI assigned
- Jun 16, 2016
- Last updated
- May 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | ||
| Behavior Analyst | 103K00000X | QASP-S-14981 | FL | Primary |
Addresses
Primary practice location
419 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612
Mailing address
124 E Miracle Strip Pkwy
Mary Esther, FL 32569-1988
Phone (850) 729-2242
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
| License | State | Type | Specialty |
|---|---|---|---|
| QASP-S-14981 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1144670423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691988",
"telephone_number": "850-729-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 RACETRACK RD NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325474612",
"telephone_number": "850-862-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMONS",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "QASP-S-14981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
- Lisa Alvey, RMHI
- American Homepatient, Inc.
- American Senior Living of Fort Walton Beach FL LLC (Westwood Health Care Center)
- Robert Keith Amiel, OD
- Michelle Ammon, M.ED., BCBA
- Shannon L Amos, M.A., CCC-SLP
- Warren R. Amos, MD
- Mallory E Amrhein, RBT
- Alexis Esperanza Amy, QASP-S
- Patrick John Anastasio, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.