Individual provider Active NPI

Vivian Peavey, BCABA

  • Assistant Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1487287652
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-24-15669 Issued in FL
Practice address
806 W Beacon Rd
Lakeland, FL 33803-2847
Phone
(863) 220-1205
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Assistant Behavior Analyst 106E00000X 0-24-15669 FL Primary

Addresses

Primary practice location

806 W Beacon Rd
Lakeland, FL 33803-2847

Mailing address

806 W Beacon Rd
Lakeland, FL 33803-2847

Other practice location 1

1140 Kyle Wood Ln
Brandon, FL 33511-4850
Phone (813) 548-1009

Other practice location 2

145 E Edgewood Dr
Lakeland, FL 33803-4014
Phone (863) 619-2809

Other identifiers 1

IdentifierTypeStateIssuer
106855700MedicaidFL

Other names 1

  • Vivian Munch Former name

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
Applied Behavioral Learning Experiences, Inc PastSince Sep 1, 2019 Accepting new patients
ABA Way LLC Past Accepting new patients
Applied Behavioral Learning Experiences, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1487287652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W BEACON RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W BEACON RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032847",
            "telephone_number": "863-220-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Kyle Wood Ln",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114850",
            "country_code": "US",
            "telephone_number": "813-548-1009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034014",
            "country_code": "US",
            "telephone_number": "863-619-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVEY",
        "first_name": "VIVIAN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-15669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106855700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "MUNCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.