Active NPI
Beau Voltz
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1144892498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65298
- Practice address
- 4997 Royal Gulf Cir
Fort Myers, FL 33966-7006 - Phone
- (239) 313-5049
- Fax
- (239) 313-5712
- NPI assigned
- Jul 15, 2021
- Last updated
- Apr 26, 2023
- 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 | 1-23-65298 | FL | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4997 Royal Gulf Cir
Fort Myers, FL 33966-7006
Mailing address
4997 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone (239) 313-5049
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarah.marcuccio@focusflorida.com | ||
| Direct Messaging Address | sarah.marcuccio@focusflorida.com |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Kru Therapy LLC Dba Focus | Past | Accepting new patients | |
| J Kru Therapy LLC, Dba Focus | Behavior Analyst | Past | 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, 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": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1144892498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4997 ROYAL GULF CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667006",
"telephone_number": "239-313-5049",
"fax_number": "239-313-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4997 ROYAL GULF CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667006",
"telephone_number": "239-313-5049",
"fax_number": "239-313-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLTZ",
"first_name": "BEAU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-15",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-65298",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarah.marcuccio@focusflorida.com",
"affiliation": "N",
"address_1": "4997 Royal Gulf Cir",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339667006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarah.marcuccio@focusflorida.com",
"affiliation": "N",
"address_1": "4997 Royal Gulf Cir",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339667006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.