NPIMap

Organization Active NPI

Novo Behavioral Services

  • Behavior Analyst
  • Eustis, FL
National Provider Identifier
1467845438
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NOVO BEHAVIORAL SERVICES
Practice address
2785 S Bay St Ste a
Eustis, FL 32726-6591
Phone
(844) 668-6222
Fax
(888) 975-0599
NPI assigned
Mar 13, 2015
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mark R Chambers, BCBANPI 1558549956
Title
Owner
Phone
(352) 250-7182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2785 S Bay St Ste a
Eustis, FL 32726-6591

Mailing address

PO Box 963
Mount Dora, FL 32756-0963
Phone (844) 668-6222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1467845438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327560963",
            "telephone_number": "844-668-6222",
            "fax_number": "888-975-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 S BAY ST STE A",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266591",
            "telephone_number": "844-668-6222",
            "fax_number": "888-975-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-250-7182",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

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