Organization Active NPI

Orange Blossom Behavior LLC

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1336902162
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ORANGE BLOSSOM BEHAVIOR LLC
Practice address
1492 Regal CT
Kissimmee, FL 34744-6638
Phone
(614) 560-9236
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Mr. John William Ferguson V, BCBANPI 1669069183
Title
Bcba/Owner
Phone
(614) 560-9236

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

1492 Regal CT
Kissimmee, FL 34744-6638

Mailing address

1492 Regal CT
Kissimmee, FL 34744-6638
Phone (614) 560-9236

National Provider Directory

National Provider Directory

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1336902162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 REGAL CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446638",
            "telephone_number": "614-560-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 REGAL CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446638",
            "telephone_number": "614-560-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOM BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "614-560-9236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V",
        "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 Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.