Active NPI
Positive Behavioral Outcomes Inc
Doing business as ABC Behavioral Services INC
- Behavior Analyst
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- POSITIVE BEHAVIORAL OUTCOMES INC
- Doing business as
- ABC Behavioral Services INC
- Practice address
- 1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007 - Phone
- (321) 446-0809
- Fax
- (321) 241-4605
- NPI assigned
- Dec 27, 2021
- Last updated
- Dec 27, 2021
- Organization subpart
- Yes
- Parent organization
- POSITIVE BEHAVIORAL OUTCOMES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christa Vermillera, PHD
- Title
- Owner
- Phone
- (321) 446-0809
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Mailing address
1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Phone (321) 446-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-47877 | Other | FL | 103K00000X |
Other names 1
- ABC Behavioral Services INC
National Provider Directory
National Provider Directory- Part of
- Positive Behavioral Outcomes Inc
Locations
1802 S Fiske Blvd
Ste 201
Rockledge, FL 32955
Phone (321) 446-2113
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640563200000",
"number": "1225798796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 S FISKE BLVD STE 201",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553007",
"telephone_number": "321-446-0809",
"fax_number": "321-241-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 S FISKE BLVD STE 201",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553007",
"telephone_number": "321-446-0809",
"fax_number": "321-241-4605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE BEHAVIORAL OUTCOMES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "POSITIVE BEHAVIORAL OUTCOMES INC",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A",
"authorized_official_last_name": "VERMILLERA",
"authorized_official_first_name": "CHRISTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-446-0809",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "103K00000X",
"identifier": "1-21-47877",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABC Behavioral Services INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.