Active NPI
Cristen Lois Hall, RBT
- Behavior Technician
- Clermont, FL
National Provider Identifier
1558060897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB883475
- Practice address
- 14800 Old Highway 50
Clermont, FL 34711-8173 - Phone
- (352) 646-2638
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | BACB883475 | FL | Primary |
Addresses
Primary practice location
14800 Old Highway 50
Clermont, FL 34711-8173
Mailing address
8310 Happy TRL
Kissimmee, FL 34747-1337
Phone (330) 347-2893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB883475 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Journeys, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1770988503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1558060897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8310 HAPPY TRL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347471337",
"telephone_number": "330-347-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14800 OLD HIGHWAY 50",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118173",
"telephone_number": "352-646-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CRISTEN",
"middle_name": "LOIS",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB883475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.