Individual provider Active NPI

Charlotte Earnhart, M.A., BCBA

  • Behavior Technician
  • Palm Beach Gardens, FL
National Provider Identifier
1487115192
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2979 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410-3002
Phone
(561) 260-5900
Fax
(561) 513-8211
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

2979 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410-3002

Mailing address

2755 Cardinal Cir
Gulf Stream, FL 33483-6105
Phone (561) 862-7445

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1487115192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 CARDINAL CIR",
            "city": "GULF STREAM",
            "state": "FL",
            "postal_code": "334836105",
            "telephone_number": "561-862-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103002",
            "telephone_number": "561-260-5900",
            "fax_number": "561-513-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNHART",
        "first_name": "CHARLOTTE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.