Organization Active NPI

North Star Behavioral Solutions, LLC

  • Behavior Analyst
  • Tallahassee, FL
National Provider Identifier
1396526083
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NORTH STAR BEHAVIORAL SOLUTIONS, LLC
Practice address
9623 Land Co Op Rd Ste 39
Tallahassee, FL 32309-9174
Phone
(850) 203-2727
NPI assigned
Oct 10, 2023
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Rosalind Brannan Gutierrez, MSNPI 1578860698
Title
Ceo
Phone
(850) 510-0616

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

9623 Land Co Op Rd Ste 39
Tallahassee, FL 32309-9174

Mailing address

9623 Land Co Op Rd Ste 39
Tallahassee, FL 32309-9174
Phone (850) 203-2727

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1396526083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 LAND CO OP RD STE 39",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323099174",
            "telephone_number": "850-203-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 LAND CO OP RD STE 39",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323099174",
            "telephone_number": "850-203-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "BRANNAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-510-0616",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.