Select Specialty Services, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SELECT SPECIALTY SERVICES, INC

Practice address

6255 Blue Marlin Dr
Keystone Heights, FL 32656-9465

Phone

(352) 284-6057

NPI assigned

Jan 18, 2015

Last updated

Jan 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hatch

Title

Owner

Phone

(352) 284-6057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421539200000",
    "number": "1164811857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 BLUE MARLIN DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569465",
            "telephone_number": "352-284-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 BLUE MARLIN DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569465",
            "telephone_number": "352-284-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-284-6057"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; 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.