Active NPI
Elisa Belliard, BEHAVIOR ASISTANT
- Other Technician
- West Palm Beach, FL
National Provider Identifier
1386090868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 1386090868.
- Practice address
- 2072 S Military TRL
Suite 11
West Palm Beach, FL 33415-6419 - Phone
- (561) 543-3357
- NPI assigned
- May 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | FL | ||
| Other Technician | 247200000X | 1386090868. | FL | Primary |
Addresses
Primary practice location
2072 S Military TRL
Suite 11
West Palm Beach, FL 33415-6419
Mailing address
2072 S Military Trail
Suite 11
West Palm Beach, FL 33415
Phone (561) 543-3357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386090868. | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386090868. | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1386090868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 S MILITARY TRAIL",
"address_2": "SUITE 11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33415",
"telephone_number": "561-543-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2072 S MILITARY TRL",
"address_2": "SUITE 11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156419",
"telephone_number": "561-543-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLIARD",
"first_name": "ELISA",
"credential": "BEHAVIOR ASISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "1386090868.",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386090868.",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.