Active NPI
Paula Maria Antonelli, MS, BCBA
- Behavior Analyst
- Port St Lucie, FL
National Provider Identifier
1265690952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1692
- Practice address
- 1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553 - Phone
- (772) 463-0444
- Fax
- (772) 219-1339
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-04-1692 | FL | Primary |
Addresses
Primary practice location
1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553
Mailing address
7085 Serpentine CT
Grant, FL 32949-8329
Phone (772) 463-0444
Other practice location 1
1887 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530
Phone (772) 463-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021534300 | Medicaid | FL | |
| 1-04-1692 | Other | BOARD CERTIFIED BEHAVIOR ANALYST |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Basics, Incorporated | Behavior Analyst | Current | Accepting new patients |
| Behavior Basics, Incorporated | Current | Accepting new patients |
Locations
1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231
1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (786) 259-5333
Organizations & group practices 2
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.
-
- Specialist
- Port St Lucie, FL
- NPI 1497913214
-
- Behavior Analyst
- Port St Lucie, FL
- NPI 1538406616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1265690952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7085 SERPENTINE CT",
"city": "GRANT",
"state": "FL",
"postal_code": "329498329",
"telephone_number": "772-463-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE B101-103",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-463-0444",
"fax_number": "772-219-1339"
}
],
"practiceLocations": [
{
"address_1": "1887 SE Port St Lucie Blvd",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349525530",
"country_code": "US",
"telephone_number": "772-463-0444",
"fax_number": "772-219-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONELLI",
"first_name": "PAULA",
"middle_name": "MARIA",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-04-1692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021534300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-04-1692",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.