Individual provider Active NPI

Rose Medgine Dubois

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1558877332
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-59533 Issued in FL
Practice address
8016 80TH Way
West Palm Beach, FL 33407-6781
Phone
(561) 567-3114
NPI assigned
Dec 16, 2017
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-59533 FL Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

8016 80TH Way
West Palm Beach, FL 33407-6781

Mailing address

8016 80TH Way
West Palm Beach, FL 33407-6781
Phone (561) 567-3114

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
Vyrj ABA Therapy LLC Behavior Analyst CurrentSince Mar 3, 2024 Accepting new patients
The Beehive Learning Academy, LLC Behavior Analyst PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1558877332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 80TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076781",
            "telephone_number": "561-567-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 80TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076781",
            "telephone_number": "561-567-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ROSE",
        "middle_name": "MEDGINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59533",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.