Organization Active NPI

Bhavioral Corporation

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1326773938
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BHAVIORAL CORPORATION
Practice address
12557 New Brittany Blvd Ste 3V-26
Fort Myers, FL 33907-3651
Phone
(786) 355-4371
NPI assigned
Jul 18, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Jesus L Lage Comas
Title
President
Phone
(786) 393-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12557 New Brittany Blvd Ste 3V-26
Fort Myers, FL 33907-3651

Mailing address

12557 New Brittany Blvd #3
Suite 3V-26
Fort Myers, FL 33907-3651
Phone (786) 393-2415

National Provider Directory

National Provider Directory

Locations

12557 New Brittany Blvd
Ste 3V26
Fort Myers, FL 33907
Phone (786) 355-4371

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1326773938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12557 NEW BRITTANY BLVD #3",
            "address_2": "SUITE 3V-26",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073651",
            "telephone_number": "786-393-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12557 NEW BRITTANY BLVD STE 3V-26",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073651",
            "telephone_number": "786-355-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAVIORAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "LAGE COMAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-393-2415"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_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 Jul 19, 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.