Active NPI
Holly Beth Bell, MS, BCBA
- Behavior Analyst
- Titusville, FL
National Provider Identifier
1174770267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1073698
- Practice address
- 2073 Garden St
Titusville, FL 32796-3243 - Phone
- (321) 888-3020
- NPI assigned
- Aug 20, 2008
- Last updated
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017908700 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1073698 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Education Language & Lifeskills, Inc. | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Mims, FL
- NPI 1306511472
-
- Behavior Analyst
- Cocoa, FL
- NPI 1205376902
-
- Behavior Analyst
- Merritt Island, FL
- NPI 1679006506
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.