Amy Jo Eldred

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2317 Blanding Blvd
Suite 102
Jacksonville, FL 32210-4194

Phone

(904) 200-7979

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• First Coast Behavior Solutions, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1720326382
  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1164977328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 RIVIERA PKWY",
            "address_2": "APT 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058829",
            "telephone_number": "904-887-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BLANDING BLVD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104194",
            "telephone_number": "904-200-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRED",
        "first_name": "AMY JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micheline Baz Elbahri, DDS
• Moustafa Elbehairy, DDS
• Joshua S Elder, M.D.
• Michelle Boling Elder, ATC
• Stephanie J Elder, MD
• Courtney Eldridge
• Marion C Eldridge Jr., DMD
• Jason S Eldrige, M.D.
• Jacob Raphael Eleazer, PHD
• Katrina Pam Eleftheropoulos, PA-C

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.