Individual provider Active NPI

Victoria M Dunn

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1487218947
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67592 Issued in FL
Practice address
12493 Brantley Commons CT
Fort Myers, FL 33907-5693
Phone
(239) 268-8707
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-23-67592 FL Primary

Addresses

Primary practice location

12493 Brantley Commons CT
Fort Myers, FL 33907-5693

Mailing address

5853 Millay CT
North Fort Myers, FL 33903-4524
Phone (813) 650-7535

Other practice location 1

5853 Millay Ct
North Fort Myers, FL 33903-4524
Phone (813) 650-7535

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
Smart Endeavors Therapy Services, LLC. CurrentSince Sep 5, 2023 Accepting new patients
Livewell Behavioral Consulting Services LLC Behavior Analyst CurrentSince Sep 8, 2025 Accepting new patients

Locations

12493 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 268-8707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1487218947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5853 MILLAY CT",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034524",
            "telephone_number": "813-650-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12493 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075693",
            "telephone_number": "239-268-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5853 Millay Ct",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339034524",
            "country_code": "US",
            "telephone_number": "813-650-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.