Individual provider Active NPI

Holly Beth Bell, MS, BCBA

  • Behavior Analyst
  • Titusville, FL
National Provider Identifier
1174770267
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1073698 Issued in FL
Practice address
2073 Garden St
Titusville, FL 32796-3243
Phone
(321) 888-3020
NPI assigned
Aug 20, 2008
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Behavior Analyst 103K00000X 1073698 FL Primary

Addresses

Primary practice location

2073 Garden St
Titusville, FL 32796-3243

Mailing address

3335 Carter Rd
Mims, FL 32754-5380
Phone (321) 759-5462

Other practice location 1

415 Hibiscus Blvd
Merritt Island, FL 32952-5070
Phone (321) 961-7831

Other practice location 2

2073 Garden St
Titusville, FL 32796-3243
Phone (321) 888-3020

Other identifiers 1

IdentifierTypeStateIssuer
017908700MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1073698FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Education Language & Lifeskills, Inc. Behavior Analyst CurrentSince Aug 15, 2021 Accepting new patients
Able Academics, LLC Behavior Analyst Past Accepting new patients
Teaching Interventions Keeping Individuality, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1174770267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 CARTER RD",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327545380",
            "telephone_number": "321-759-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963243",
            "telephone_number": "321-888-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329525070",
            "country_code": "US",
            "telephone_number": "321-961-7831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2073 Garden St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327963243",
            "country_code": "US",
            "telephone_number": "321-888-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1073698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017908700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.