Organization Active NPI

Choice Behavior Services, LLC

  • Community/Behavioral Health Agency
  • Gainesville, FL
National Provider Identifier
1508214909
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHOICE BEHAVIOR SERVICES, LLC
Practice address
3300 NW 30TH Ave
Gainesville, FL 32605-2716
Phone
(352) 213-3261
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Donna Foster
Title
Owner
Phone
(352) 213-3261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

3300 NW 30TH Ave
Gainesville, FL 32605-2716

Mailing address

3300 NW 30TH Ave
Gainesville, FL 32605-2716
Phone (352) 213-3261

Other identifiers 1

IdentifierTypeStateIssuer
689281796MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1508214909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 30TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052716",
            "telephone_number": "352-213-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 30TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052716",
            "telephone_number": "352-213-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-213-3261"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689281796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.