NPIMap

Individual provider Active NPI

Michael Leonard James II

  • Behavior Technician
  • Palm Bay, FL
National Provider Identifier
1376180208
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
J520-552-95-292-0 Issued in FL
Practice address
1512 Harvard Cir Apt 5
Palm Bay, FL 32905-2248
Phone
(322) 987-2079
NPI assigned
Dec 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X J520-552-95-292-0 FL Primary

Addresses

Primary practice location

1512 Harvard Cir Apt 5
Palm Bay, FL 32905-2248

Mailing address

1512 Harvard Cir Apt 5
Palm Bay, FL 32905-2248
Phone (322) 987-2079

Other practice location 1

210 Rocket Ln Apt 9
West Melbourne, FL 32904-5053
Phone (321) 890-5476

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1376180208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HARVARD CIR APT 5",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052248",
            "telephone_number": "322-987-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HARVARD CIR APT 5",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052248",
            "telephone_number": "322-987-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Rocket Ln Apt 9",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329045053",
            "country_code": "US",
            "telephone_number": "321-890-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "J520-552-95-292-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.