Active NPI
George William Zvorsky, BCBA
- Behavior Analyst
- Cocoa, FL
National Provider Identifier
1275973414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23275
- Practice address
- 453 King St
Cocoa, FL 32922-7621 - Phone
- (321) 349-9379
- NPI assigned
- Jul 2, 2013
- Last updated
- Jul 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-15-6933 | FL | |
| Other Technician | 247200000X | |||
| Behavior Analyst | 103K00000X | 1-16-23275 | FL | Primary |
Addresses
Primary practice location
453 King St
Cocoa, FL 32922-7621
Mailing address
453 King St
Cocoa, FL 32922-7621
Phone (321) 349-9379
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@creativelearningbrevard.com |
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": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1275973414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 KING ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329227621",
"telephone_number": "321-349-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 KING ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329227621",
"telephone_number": "321-349-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZVORSKY",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-15-6933",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-16-23275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@creativelearningbrevard.com",
"affiliation": "N",
"address_1": "453 King St",
"city": "Cocoa",
"state": "FL",
"country_code": "US",
"postal_code": "329227621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.