Completing the Puzzle Behavior Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COMPLETING THE PUZZLE BEHAVIOR SOLUTIONS LLC

Practice address

2043 Churchill Ave
Lehigh Acres, FL 33971-5665

Phone

(239) 986-9398

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Shane Gary Walters Sr.

Title

Owner

Phone

(239) 986-9398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1205320470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 CHURCHILL AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339715665",
            "telephone_number": "239-986-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 CHURCHILL AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339715665",
            "telephone_number": "239-986-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETING THE PUZZLE BEHAVIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-986-9398",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.