Organization Active NPI

Higher Aspirations Behavior Services, LLC

  • Behavior Analyst
  • Wimauma, FL
National Provider Identifier
1477900652
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HIGHER ASPIRATIONS BEHAVIOR SERVICES, LLC
Practice address
10722 Standing Stone Dr
Wimauma, FL 33598-6163
Phone
(813) 610-5186
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Krystal A Jackman, M.S., BCBANPI 1588011233
Title
Ceo
Phone
(813) 610-5186

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 Primary

Addresses

Primary practice location

10722 Standing Stone Dr
Wimauma, FL 33598-6163

Mailing address

PO Box 1564
Riverview, FL 33568-1564
Phone (813) 610-5186

Other identifiers 1

IdentifierTypeStateIssuer
001289800OtherFLMEDICAID WAIVER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1477900652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335681564",
            "telephone_number": "813-610-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 STANDING STONE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986163",
            "telephone_number": "813-610-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER ASPIRATIONS BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-610-5186",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "001289800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.