Individual provider Active NPI

Shantell Jones- Doyle, RBT

  • Behavior Technician
  • Titusville, FL
National Provider Identifier
1417414392
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-79449 Issued in FL
Practice address
3880 Catalina St
Titusville, FL 32796-2211
Phone
(321) 346-8450
Fax
(772) 219-1339
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 RBT-19-79449 FL Primary

Addresses

Primary practice location

3880 Catalina St
Titusville, FL 32796-2211

Mailing address

1558 Lombard St NW
Palm Bay, FL 32907-7065
Phone (321) 458-8436

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

LicenseStateTypeSpecialty
RBT-19-79449FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Possibilities Therapy and Learning LLC CurrentSince Mar 30, 2025 Accepting new patients
Behavior Basics, Incorporated PastSince Aug 1, 2023 Accepting new patients
Behavior Basics, Incorporated PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1417414392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 LOMBARD ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077065",
            "telephone_number": "321-458-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 CATALINA ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962211",
            "telephone_number": "321-346-8450",
            "fax_number": "772-219-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES- DOYLE",
        "first_name": "SHANTELL",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-79449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.