Individual provider Active NPI

Andrew Jacob Bethke

  • Behavior Analyst
  • Cocoa, FL
National Provider Identifier
1144746298
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50633 Issued in FL
Practice address
1865 Friday Rd
Cocoa, FL 32926-3409
Phone
(321) 888-3020
NPI assigned
Aug 21, 2017
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-50633 FL Primary

Addresses

Primary practice location

1865 Friday Rd
Cocoa, FL 32926-3409

Mailing address

1865 Friday Rd
Cocoa, FL 32926-3409
Phone (321) 888-3020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Able Academics, LLC Behavior Analyst CurrentSince Oct 5, 2025 Accepting new patients
Bethke Behavior Services LLC Behavior Analyst Current Accepting new patients

Locations

1865 Friday Rd
Cocoa, FL 32926
Phone (321) 888-3020

7075 N US Highway 1
Port St John, FL 32927
Phone (321) 639-5905

2073 Garden St
Titusville, FL 32796
Phone (321) 888-3020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1144746298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263409",
            "telephone_number": "321-888-3020",
            "fax_number": "661-263-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263409",
            "telephone_number": "321-888-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHKE",
        "first_name": "ANDREW",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.