Organization Active NPI

PLS Therapy Services

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1356962518
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PLS THERAPY SERVICES
Practice address
13121 Atlantic Blvd Ste 400
Jacksonville, FL 32225-0103
Phone
(904) 491-2111
Fax
(904) 512-0613
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Kelly Noda, BCBANPI 1093261737
Title
Board Certified Behavior Analyst
Phone
(904) 491-2111

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 MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

13121 Atlantic Blvd Ste 400
Jacksonville, FL 32225-0103

Mailing address

13121 Atlantic Blvd Ste 400
Jacksonville, FL 32225-0103
Phone (904) 491-2111

National Provider Directory

National Provider Directory
Tax ID family
PLS Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13121 Atlantic Blvd
Ste 400
Jacksonville, FL 32225
Phone (904) 491-2111

Practitioners & affiliated clinicians

Practitioners 2

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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1356962518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250103",
            "telephone_number": "904-491-2111",
            "fax_number": "904-512-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250103",
            "telephone_number": "904-491-2111",
            "fax_number": "904-512-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "NODA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "904-491-2111",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.