Michael W Ice, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2084 Meadowlane Ave
West Melbourne, FL 32904-4950

Phone

(321) 209-0242

NPI assigned

Jul 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Infinite Behavior Solutions

  • Behavior Analyst
  • West Melbourne, FL
  • NPI 1689420952
  NPD Authorized official
• Behavior Basics, Incorporated

  • Specialist
  • Port St Lucie, FL
  • NPI 1497913214
  NPD (past)
• Behavior Basics, Incorporated

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1538406616
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1548822281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 KALEY PL",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047319",
            "telephone_number": "321-987-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 MEADOWLANE AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329044950",
            "telephone_number": "321-209-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101427200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Hodge, APRN, FNP-BC
• Holiday CVS LLC
• Holmes Regional Enterprises, Inc.
• Mary Elizabeth Hopping, PTA
• Hospice of Health First Inc.
• Indian River Center, LLC
• Infinite Behavior Solutions
• Institute of Facial Surgery Inc
• Interventional & Vascular Center, PLLC
• Susan Jackson, PT

• Behavior Analyst in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.