Individual provider Active NPI

Jonathan J Nadeau, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1144829557
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44508 Issued in FL
Practice address
7594 W Sand Lake Rd
Orlando, FL 32819-5188
Phone
(800) 875-1871
Fax
(800) 875-1871
NPI assigned
Oct 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 1-20-44508 FL Primary

Addresses

Primary practice location

7594 W Sand Lake Rd
Orlando, FL 32819-5188

Mailing address

11983 Tamiami TRL N # 121
Naples, FL 34110-1603
Phone (800) 875-1871

Other practice location 1

2304 Kelbrook Ct
Oviedo, FL 32765-2300
Phone (321) 228-3765

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
Stepping Stones Behavioral Support PastSince Oct 8, 2023 Accepting new patients
ABA Healthcare, Inc. Behavior Analyst PastSince Oct 25, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1144829557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 TAMIAMI TRL N # 121",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101603",
            "telephone_number": "800-875-1871",
            "fax_number": "800-875-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7594 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195188",
            "telephone_number": "800-875-1871",
            "fax_number": "800-875-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Kelbrook Ct",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327652300",
            "country_code": "US",
            "telephone_number": "321-228-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-44508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

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