Active NPI
Gloria Decourcey
- Behavior Analyst
- Stuart, FL
National Provider Identifier
1174954853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13815
- Practice address
- 4575 SE Dixie Hwy
Stuart, FL 34997-6826 - Phone
- (855) 832-6727
- NPI assigned
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-13815 | FL | Primary |
Addresses
Primary practice location
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Mailing address
4575 SE Dixie Hwy
Stuart, FL 34997-6826
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1174954853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349976826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349976826",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOURCEY",
"first_name": "GLORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-13-13815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.