Organization Active NPI

Behavioral Evolution, Inc.

  • Behavior Analyst
  • Sarasota, FL
National Provider Identifier
1417263260
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1699 Issued in FL
Legal business name
BEHAVIORAL EVOLUTION, INC.
Practice address
4429 Beauchamp CT
Sarasota, FL 34243-2685
Phone
(727) 403-6171
NPI assigned
Aug 30, 2010
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Anthony Stover, M.A., BCBANPI 1174768055
Title
Owner
Phone
(727) 403-6171

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 1-04-1699 FL Primary

Addresses

Primary practice location

4429 Beauchamp CT
Sarasota, FL 34243-2685

Mailing address

4429 Beauchamp CT
Sarasota, FL 34243-2685

Other identifiers 1

IdentifierTypeStateIssuer
017424100MedicaidFL

National Provider Directory

National Provider Directory

Locations

701 77th Ave N
Ste 56546
St Petersburg, FL 33702
Phone (727) 403-6171

Practitioners & affiliated clinicians

Practitioners 5

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": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1417263260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 BEAUCHAMP CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 BEAUCHAMP CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432685",
            "telephone_number": "727-403-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL EVOLUTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-403-6171",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017424100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.