Organization Active NPI

Certified Behavioral Health Services, LLC

  • Behavior Analyst
  • Florence, AL
National Provider Identifier
1427545383
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-9481 Issued in AL
Legal business name
CERTIFIED BEHAVIORAL HEALTH SERVICES, LLC
Doing business as
Certified Behavioral Health Services, LLC
Practice address
1629 Lamar St
Florence, AL 35630-2710
Phone
(256) 627-4032
NPI assigned
Apr 17, 2018
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Mr. Jeremy David Brown, MS, BCBA
Title
BRD Certified Behavioral Analyst
Phone
(256) 627-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-9481 AL Primary

Addresses

Primary practice location

1629 Lamar St
Florence, AL 35630-2710

Mailing address

1629 Lamar St
Florence, AL 35630-2710
Phone (256) 627-4032

Other names 1

  • Certified Behavioral Health Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1427545383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 LAMAR ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302710",
            "telephone_number": "256-627-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 LAMAR ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302710",
            "telephone_number": "256-627-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "BRD CERTIFIED BEHAVIORAL ANALYST",
        "authorized_official_telephone_number": "256-627-4032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-14-9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Behavioral Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Certified Behavioral Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.