Individual provider Active NPI

Chelsea Suzanne Plantz, BCBA

  • Behavior Analyst
  • North Port, FL
National Provider Identifier
1487133310
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8721 San Pablo Ave
North Port, FL 34287-5423
Phone
(941) 626-6644
Fax
(941) 564-7671
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

8721 San Pablo Ave
North Port, FL 34287-5423

Mailing address

8721 San Pablo Ave
North Port, FL 34287-5423
Phone (941) 626-6644

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
Gulf Breeze Behavior Analytic Services and Consultation LLC Behavior Analyst CurrentSince Mar 31, 2024 Accepting new patients
Adult, Child & Family Services, LLC PastSince Jul 14, 2003 Accepting new patients
Five Rivers Mental Health LLC PastSince Aug 21, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1487133310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 SAN PABLO AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342875423",
            "telephone_number": "941-626-6644",
            "fax_number": "941-564-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 SAN PABLO AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342875423",
            "telephone_number": "941-626-6644",
            "fax_number": "941-564-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTZ",
        "first_name": "CHELSEA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.