Active NPI
Victoria M Dunn
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1487218947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Endeavors Therapy Services, LLC. | Current | Accepting new patients | |
| Livewell Behavioral Consulting Services LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- North Fort Myers, FL
- NPI 1558241596
-
- Speech-Language Pathologist
- Fort Myers, FL
- NPI 1356093777
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.