Active NPI
Certified Behavioral Health Services, LLC
- Behavior Analyst
- Florence, AL
National Provider Identifier
1427545383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-9481
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.