Active NPI
Stephen Beausoleil
- Behavior Analyst
- Naples, FL
National Provider Identifier
1356849509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2675 Horseshoe Dr S Ste 404
Naples, FL 34104-6155 - Phone
- (800) 217-9289
- Fax
- (888) 751-4019
- NPI assigned
- Jan 23, 2018
- Last updated
- Jan 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
2675 Horseshoe Dr S Ste 404
Naples, FL 34104-6155
Mailing address
17071 Carolyn LN
North Fort Myers, FL 33917-3866
Phone (239) 849-6290
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": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1356849509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17071 CAROLYN LN",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339173866",
"telephone_number": "239-849-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 HORSESHOE DR S STE 404",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046155",
"telephone_number": "800-217-9289",
"fax_number": "888-751-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUSOLEIL",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.