Michelle Ammon, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19894

Practice address

103 Lewis St
Fort Walton Beach, FL 32547-3142

Phone

(850) 362-6824

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Beyond Expectations Inc.

  • Multi-Specialty Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1114278686

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1477924835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-362-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-362-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMON",
        "first_name": "MICHELLE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Alston
• Lisa Alvey, RMHI
• American Homepatient, Inc.
• American Senior Living of Fort Walton Beach FL LLC
• Robert Keith Amiel, OD
• Gregory Ammons
• Shannon L Amos, M.A., CCC-SLP
• Warren R. Amos, MD
• Mallory E Amrhein, RBT
• Alexis Esperanza Amy, QASP-S

• Behavior Analyst in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.