Individual provider Active NPI

Joan Mary Eberhart, BCBA

  • Behavior Analyst
  • Stuart, FL
National Provider Identifier
1447410212
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2210
Practice address
900 SE Ocean Blvd Ste 130D
Stuart, FL 34994-3503
Phone
(772) 219-7575
Fax
(855) 457-4263
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1-05-2210 FL
Behavior Analyst 103K00000X 1-05-2210 Primary

Addresses

Primary practice location

900 SE Ocean Blvd Ste 130D
Stuart, FL 34994-3503

Mailing address

900 SE Ocean Blvd Ste 130D
Stuart, FL 34994-3503
Phone (772) 219-7575

Other identifiers 1

IdentifierTypeStateIssuer
018452100MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands, Inc. Behavior Analyst CurrentSince Aug 8, 2021 Accepting new patients
Helping Hands, Inc. Behavior Analyst PastSince Jan 31, 2021 Accepting new patients

Locations

900 SE Ocean Blvd
Ste 130D
Stuart, FL 34994
Phone (772) 219-7575

Organizations & group practices 2

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1447410212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 130D",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943503",
            "telephone_number": "772-219-7575",
            "fax_number": "855-457-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 130D",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943503",
            "telephone_number": "772-219-7575",
            "fax_number": "855-457-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "JOAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "1-05-2210",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018452100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.