Organization Active NPI

Vivid Behavior Solutions

  • Behavior Analyst
  • Gulf Breeze, FL
National Provider Identifier
1528995685
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VIVID BEHAVIOR SOLUTIONS
Practice address
1617 Champagne Ave
Gulf Breeze, FL 32563-9039
Phone
(850) 384-1131
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Samantha Lee Bass, BCBANPI 1689206310
Title
Owner
Phone
(850) 384-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1617 Champagne Ave
Gulf Breeze, FL 32563-9039

Mailing address

1617 Champagne Ave
Gulf Breeze, FL 32563-9039
Phone (850) 384-1131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1528995685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 CHAMPAGNE AVE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639039",
            "telephone_number": "850-384-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 CHAMPAGNE AVE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639039",
            "telephone_number": "850-384-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-384-1131",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.