NPIMap

Organization Active NPI

Behavioral Foundation Centers Inc

  • Behavior Analyst
  • South Daytona, FL
National Provider Identifier
1285307066
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL FOUNDATION CENTERS INC
Practice address
2400 S Ridgewood Ave Ste 32
South Daytona, FL 32119-3073
Phone
(904) 878-8683
NPI assigned
Jul 28, 2021
Organization subpart
Yes
Parent organization
BEHAVIORAL FOUNDATION CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Marrie Sallade, BCBANPI 1861772865
Title
Ceo
Phone
(904) 878-8683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2400 S Ridgewood Ave Ste 32
South Daytona, FL 32119-3073

Mailing address

179 Rabbit Run
Osteen, FL 32764-9461
Phone (386) 843-3006

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Foundation Centers Inc2 organizations share this tax ID, including this one
Part of
Behavioral Foundation Centers Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1285307066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 RABBIT RUN",
            "city": "OSTEEN",
            "state": "FL",
            "postal_code": "327649461",
            "telephone_number": "386-843-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S RIDGEWOOD AVE STE 32",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193073",
            "telephone_number": "904-878-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL FOUNDATION CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL FOUNDATION CENTERS INC",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SALLADE",
        "authorized_official_first_name": "MARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-878-8683",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.