Active NPI
Jason McIntyre, BCBA
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1235360660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-01-0562
- Practice address
- 809 E Oak St
Suite 106
Kissimmee, FL 34744-5834 - Phone
- (407) 483-9520
- Fax
- (407) 483-9551
- NPI assigned
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-01-0562 | FL | Primary |
Addresses
Primary practice location
809 E Oak St
Suite 106
Kissimmee, FL 34744-5834
Mailing address
9719 Winder TRL
Orlando, FL 32817-2720
Phone (407) 483-9520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-010562 | Other | FL | BEHAVIOR CERTIFICATION |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Behavior Group LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Orlando, FL
- NPI 1386117588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1235360660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9719 WINDER TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328172720",
"telephone_number": "407-483-9520",
"fax_number": "407-483-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E OAK ST",
"address_2": "SUITE 106",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-483-9520",
"fax_number": "407-483-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-03",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-01-0562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR CERTIFICATION",
"identifier": "1-010562",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.