Organization Active NPI

Pathfinder Behavior Services Corp

  • Behavior Analyst
  • Valrico, FL
National Provider Identifier
1174370381
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PATHFINDER BEHAVIOR SERVICES CORP
Practice address
2350 E State Road 60 Ste 24
Valrico, FL 33594-3705
Phone
(813) 400-9244
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Sheila Fernandez Bouza, M.S.NPI 1811424658
Title
Ceo/Bcba
Phone
(813) 400-9244

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

2350 E State Road 60 Ste 24
Valrico, FL 33594-3705

Mailing address

11265 Running Pine Dr
Riverview, FL 33569-2217
Phone (813) 400-9244

National Provider Directory

National Provider Directory

Locations

2350 E State Road 60
Ste 24
Valrico, FL 33594
Phone (813) 400-9244

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1174370381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11265 RUNNING PINE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692217",
            "telephone_number": "813-400-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E STATE ROAD 60 STE 24",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943705",
            "telephone_number": "813-400-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER BEHAVIOR SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ BOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO/BCBA",
        "authorized_official_telephone_number": "813-400-9244",
        "authorized_official_credential": "M.S."
    },
    "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 Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.