Eleanor Ann Eide, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10920 Moss Park Rd Ste 130
Orlando, FL 32832-6087

Phone

(407) 930-4339

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1417668997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 ROYAL VISTA CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 MOSS PARK RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326087",
            "telephone_number": "407-930-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDE",
        "first_name": "ELEANOR",
        "middle_name": "ANN",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.centralreach.com/login?ReturnUrl=%2Fconnect%2Fauthorize%2Fcallback%3Fclient_id%3Doidc%26code_challenge%3DFgJoyVgBIeGVCAnwZmfSl-oUPEX5XdFHifdg1T_IFHY%26code_challenge_method%3DS256%26redirect_uri%3Dhttps%253A%252F%252Fmembers.centralreach.com%252F%2523auth%252Fcallback%26response_mode%3Dquery%26response_type%3Dcode%26scope%3Doffline_access%2520openid%26state%3Da147333eb2d94fbe93fb4fab211c0c1a",
            "affiliation": "N",
            "endpointDescription": "log in to securely view client information, updates, behavior tracking and instructions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10920 Moss Park Rd Ste 130",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328326087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Anne Eichman, MD
• Kelsey Eickelman
• Elias Eid, MD
• Joe Antoine Eid, MD
• Michael Henry Eid
• Sue Ann Eidson, PH. D.
• Derek Glenn Eiflander, FNP-C
• Ingrid Rivas Eiken, LMHC
• Arnold M Einhorn, MD
• Eir Health LLC

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.