Active NPI
Pattie Elaine Bentley, BCBA
- Behavior Analyst
- Port St Lucie, FL
National Provider Identifier
1154853612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1645 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5428 - Phone
- (877) 999-0258
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1645 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5428
Mailing address
560 Village Blvd Ste 100
West Palm Beach, FL 33409-1963
Phone (613) 335-5681
Other practice location 1
560 Village Blvd Ste 100
West Palm Beach, FL 33409-1963
Phone (561) 335-5681
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 |
|---|---|---|---|
| ABA Cares of Florida LLC | Behavior Analyst | Past | Accepting new patients |
| Sprout Behavioral Services, Inc. | Behavior Analyst | Past | Accepting new patients |
| ABA Centers of America LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Lauderdale Lakes, FL
- NPI 1245993138
-
- Behavior Analyst
- Oakland Park, FL
- NPI 1649727090
-
- Behavior Analyst
- Nashua, NH
- NPI 1972187250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1154853612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD STE 100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091963",
"telephone_number": "613-335-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525428",
"telephone_number": "877-999-0258"
}
],
"practiceLocations": [
{
"address_1": "560 Village Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334091963",
"country_code": "US",
"telephone_number": "561-335-5681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTLEY",
"first_name": "PATTIE",
"middle_name": "ELAINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2023-08-30",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.