NPIMap

Organization Active NPI

Ausome Behaviors LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1144757477
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUSOME BEHAVIORS LLC
Practice address
9357 Philips Hwy Ste 3
Jacksonville, FL 32256-1368
Phone
(904) 683-4226
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Lea Nicole Wells, MEDNPI 1578982591
Title
Co-Owner
Phone
(904) 683-4226

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X FL Primary

Addresses

Primary practice location

9357 Philips Hwy Ste 3
Jacksonville, FL 32256-1368

Mailing address

9357 Philips Hwy Ste 3
Jacksonville, FL 32256-1368
Phone (904) 683-4226

Other identifiers 2

IdentifierTypeStateIssuer
1982023834MedicaidFL
1578982591MedicaidFL

National Provider Directory

National Provider Directory

Locations

9357 Philips Hwy
Ste 3
Jacksonville, FL 32256
Phone (904) 537-4108

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1144757477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9357 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561368",
            "telephone_number": "904-683-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9357 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561368",
            "telephone_number": "904-683-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSOME BEHAVIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-683-4226",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982023834",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578982591",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.