Active NPI
Darby Shannon Hallett
- Behavior Technician
- Marco Island, FL
National Provider Identifier
1235971292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Pantogram LLC Center for Autism (Card)
996 Royal Marco Way
Marco Island, FL 34145 - Phone
- (360) 605-1881
- NPI assigned
- Jun 11, 2024
- Sex
- Female
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
Pantogram LLC Center for Autism (Card)
996 Royal Marco Way
Marco Island, FL 34145
Mailing address
Pantogram LLC Center for Autism (Card)
996 Royal Marco Way
Marco Island, FL 34145
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1235971292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PANTOGRAM LLC CENTER FOR AUTISM (CARD)",
"address_2": "996 ROYAL MARCO WAY",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "34145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PANTOGRAM LLC CENTER FOR AUTISM (CARD)",
"address_2": "996 ROYAL MARCO WAY",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "34145",
"telephone_number": "360-605-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLETT",
"first_name": "DARBY",
"middle_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.