Organization Active NPI

Advanced Behavioral Consulting, LLC

  • Case Management Agency
  • Gainesville, FL
National Provider Identifier
1235459199
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
004375800 Issued in FL
Legal business name
ADVANCED BEHAVIORAL CONSULTING, LLC
Practice address
4600 NW 41St PL
Gainesville, FL 32606-4511
Phone
(352) 575-0362
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Ms. Sara J. Ragan
Title
President
Phone
(352) 519-4362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 004375800 FL Primary
In Home Supportive Care Agency 253Z00000X 232841 FL

Addresses

Primary practice location

4600 NW 41St PL
Gainesville, FL 32606-4511

Mailing address

4600 NW 41St PL
Gainesville, FL 32606-4511
Phone (352) 575-0362

Other identifiers 1

IdentifierTypeStateIssuer
004375800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1235459199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 NW 41ST PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064511",
            "telephone_number": "352-575-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 NW 41ST PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064511",
            "telephone_number": "352-575-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-519-4362",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "004375800",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004375800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.