Individual provider Active NPI

Justyn Harvey

  • Behavior Analyst
  • Youngstown, OH
National Provider Identifier
1194133447
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-24300 Issued in FL
Practice address
66 Mill Creek Dr
Youngstown, OH 44512-1549
Phone
(561) 279-3852
Fax
(561) 437-8116
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-24300 FL Primary

Addresses

Primary practice location

66 Mill Creek Dr
Youngstown, OH 44512-1549

Mailing address

66 Mill Creek Dr
Youngstown, OH 44512-1549
Phone (561) 279-3852

Other practice location 1

9127 Chrysanthemum Dr
Boynton Beach, FL 33472-1236
Phone (561) 279-3852

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abasi LLC Current Accepting new patients
Abasi LLC Behavior Analyst CurrentSince Nov 1, 2023 Accepting new patients
Unyque Diagnostics PLLC Current Accepting new patients

Locations

3469 W Boynton Beach Blvd
Ste 2
Boynton Beach, FL 33436
Phone (561) 299-0136

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1194133447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MILL CREEK DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121549",
            "telephone_number": "561-279-3852",
            "fax_number": "561-437-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MILL CREEK DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121549",
            "telephone_number": "561-279-3852",
            "fax_number": "561-437-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 Chrysanthemum Dr",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334721236",
            "country_code": "US",
            "telephone_number": "561-279-3852",
            "fax_number": "561-437-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JUSTYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-24300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.