NPIMap

Organization Active NPI

Florida Behavior Analyst LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1306515499
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA BEHAVIOR ANALYST LLC
Practice address
5353 Hawks Landing Dr Apt 207
Fort Myers, FL 33907-6665
Phone
(239) 603-1971
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Angel Lopez
Title
Ceo
Phone
(239) 603-1971

Specialties & licenses 1

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

Addresses

Primary practice location

5353 Hawks Landing Dr Apt 207
Fort Myers, FL 33907-6665

Mailing address

5353 Hawks Landing Dr Apt 207
Fort Myers, FL 33907-6665
Phone (239) 603-1971

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1306515499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 HAWKS LANDING DR APT 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076665",
            "telephone_number": "239-603-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 HAWKS LANDING DR APT 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076665",
            "telephone_number": "239-603-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BEHAVIOR ANALYST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-603-1971"
    },
    "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 Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.