Behavioral Lane

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIORAL LANE

Practice address

7603 Altama Rd
Jacksonville, FL 32216-9309

Phone

(904) 250-0852

NPI assigned

Jul 6, 2021

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariah Lane, BCBANPI 1225553530

Title

Owner

Phone

(904) 250-0852

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mariah Lane, BCBA

  • Behavior Analyst
  • Ponte Vedra Beach, FL
  • NPI 1225553530
  NPD Authorized official
• Jamie Lynn Cullen, RBT

  • Behavior Technician
  • Jacksonville, FL
  • NPI 1508592593
  NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1568033025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 ALTAMA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169309",
            "telephone_number": "904-250-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 ALTAMA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169309",
            "telephone_number": "904-250-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-250-0852",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Christopher Behan, D.O.
• Behavior Builders, LLC
• Behavioral Arts & Research Clinic L
• Behavioral Health of North Florida PLLC
• Behavioral Healthcare Inc
• Behavioral Solutions Consulting, Inc.
• Faramarz Behzadi, MD
• Alexandra Beier, DO
• Being There for You
• Steve Scott Beiser, M.D.

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.