Individual provider Active NPI

Hallie Maier

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1366166027
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4100 N Wickham Rd Unit 107a-260
Melbourne, FL 32935-2485
Phone
(855) 832-6727
NPI assigned
Sep 27, 2022
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

4100 N Wickham Rd Unit 107a-260
Melbourne, FL 32935-2485

Mailing address

1374 Wade St SE
Palm Bay, FL 32909-5020

Other practice location 1

150 W University Blvd
Melbourne, FL 32901-8995
Phone (321) 674-8106

Other practice location 2

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone (772) 463-0444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated CurrentSince Dec 1, 2022 Accepting new patients
Behavior Basics, Incorporated Behavior Analyst CurrentSince Dec 1, 2022 Accepting new patients

Locations

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 219-1339

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1366166027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WADE ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N WICKHAM RD UNIT 107A-260",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352485",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329018995",
            "country_code": "US",
            "telephone_number": "321-674-8106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1887 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525530",
            "country_code": "US",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIER",
        "first_name": "HALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.