NPIMap

Organization Active NPI

E Fusion Behavior Analysis, LLC.

  • Behavior Analyst
  • Clermont, FL
National Provider Identifier
1174153431
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
E FUSION BEHAVIOR ANALYSIS, LLC.
Practice address
3214 Fiddlewood CT
Clermont, FL 34711-9567
Phone
(786) 426-3178
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Mrs. Elia Maria Santos, MA, BCBANPI 1912305962
Title
Owner/Clinical Director
Phone
(786) 426-3178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3214 Fiddlewood CT
Clermont, FL 34711-9567

Mailing address

3214 Fiddlewood CT
Clermont, FL 34711-9567
Phone (786) 426-3178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1174153431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 FIDDLEWOOD CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119567",
            "telephone_number": "786-426-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 FIDDLEWOOD CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119567",
            "telephone_number": "786-426-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E FUSION BEHAVIOR ANALYSIS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ELIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-426-3178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.