Organization Active NPI

Behavior Analysis Solutions LLC

  • Behavior Analyst
  • Clearwater, FL
National Provider Identifier
1376291450
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR ANALYSIS SOLUTIONS LLC
Practice address
4585 140TH Ave N Ste 1012
Clearwater, FL 33762-3806
Phone
(727) 504-6539
NPI assigned
Mar 16, 2022
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Matt Potak
Title
Owner
Phone
(727) 504-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4585 140TH Ave N Ste 1012
Clearwater, FL 33762-3806

Mailing address

4585 140TH Ave N Ste 1012
Clearwater, FL 33762-3806

National Provider Directory

National Provider Directory

Locations

4585 140th Ave N
Ste 1012
Clearwater, FL 33762
Phone (443) 966-1851

11350 66th St
Ste 111
Largo, FL 33773
Phone (727) 504-6539

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1376291450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 140TH AVE N STE 1012",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 140TH AVE N STE 1012",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623806",
            "telephone_number": "727-504-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR ANALYSIS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "POTAK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-504-6539"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.