Individual provider Active NPI

Sherry Peacock

  • Behavior Technician
  • Panama City, FL
National Provider Identifier
1285380808
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3208 W 23Rd St Unit 4
Panama City, FL 32405-1830
Phone
(850) 818-0095
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

3208 W 23Rd St Unit 4
Panama City, FL 32405-1830

Mailing address

3208 W 23Rd St Unit 4
Panama City, FL 32405-1830
Phone (850) 818-0095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@focusonbehavior.com Focus on Behavior, Inc

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1285380808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 W 23RD ST UNIT 4",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051830",
            "telephone_number": "850-818-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 W 23RD ST UNIT 4",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051830",
            "telephone_number": "850-818-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "SHERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@focusonbehavior.com",
            "affiliation": "Y",
            "endpointDescription": "secure email address",
            "affiliationName": "Focus on Behavior, Inc",
            "address_1": "3208 W 23rd St Unit 4",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324051830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.