Organization Active NPI

Missing Piece Behavioral Solutions LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1184337305
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MISSING PIECE BEHAVIORAL SOLUTIONS LLC
Practice address
763 Cahoon Rd N
Jacksonville, FL 32220-2532
Phone
(904) 566-6955
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Mar'Leesia CrawfordNPI 1669921102
Title
Owner
Phone
(904) 566-6955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

763 Cahoon Rd N
Jacksonville, FL 32220-2532

Mailing address

763 Cahoon Rd N
Jacksonville, FL 32220-2532
Phone (904) 566-6955

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@missingpiecebehavioral.com Direct

National Provider Directory

National Provider Directory

Locations

6850 103rd St
Ste 2
Jacksonville, FL 32210
Phone (866) 816-7846

Practitioners & affiliated clinicians

Practitioners 2

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": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1184337305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 CAHOON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202532",
            "telephone_number": "904-566-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CAHOON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202532",
            "telephone_number": "904-566-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSING PIECE BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MAR'LEESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-566-6955"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@missingpiecebehavioral.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "763 Cahoon Rd N",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322202532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.