NPIMap

Organization Active NPI

Side by Side Behavioral Health LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1194392514
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SIDE BY SIDE BEHAVIORAL HEALTH LLC
Practice address
2151 Consulate Dr Ste 11
Orlando, FL 32837-8806
Phone
(321) 444-9527
Fax
(407) 641-9591
NPI assigned
Jun 4, 2021
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Paula Nunez Galetto
Title
Bcba
Phone
(321) 444-9527

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

2151 Consulate Dr Ste 11
Orlando, FL 32837-8806

Mailing address

2151 Consulate Dr Ste 11
Orlando, FL 32837-8806
Phone (321) 444-9527

Other identifiers 1

IdentifierTypeStateIssuer
102758800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Side by Side Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2151 Consulate Dr
Ste 11
Orlando, FL 32837
Phone (321) 444-9527

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1194392514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378806",
            "telephone_number": "321-444-9527",
            "fax_number": "407-641-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378806",
            "telephone_number": "321-444-9527",
            "fax_number": "407-641-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE BY SIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "NUNEZ GALETTO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "321-444-9527"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102758800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.