Savannah Faircloth, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4009 Charanna LN
Panama City, FL 32409-2171

Phone

(850) 774-5292

NPI assigned

Dec 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cornerstone Behavioral Consulting, LLC.

  • Behavior Analyst
  • Panama City, FL
  • NPI 1619687894
  NPD Authorized official
• Focus on Behavior

  • Behavior Analyst
  • Panama City, FL
  • NPI 1063863231
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1235645342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CHARANNA LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324092171",
            "telephone_number": "850-774-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CHARANNA LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324092171",
            "telephone_number": "850-774-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Charanna Ln",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "32409",
            "country_code": "US",
            "telephone_number": "850-774-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "SAVANNAH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyeland Optical Inc
• Deanna Lynn Fabris, MSW
• Pamela Lynn Faille, APRN
• Mary Lynn Faint, RPH
• Miah Michel Faircloth, B.S.
• Jeantte Falls
• Families First of Florida
• Family Adult Sitting Services, (Fass),LLC
• Family First of Bay County Inc
• Wael Farid, MD

• Behavior Analyst in Panama City, FL
• Providers in Panama City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.