Organization Active NPI

The Behavior Collaborative LLC

  • Behavior Analyst
  • Navarre,, FL
National Provider Identifier
1568171981
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE BEHAVIOR COLLABORATIVE LLC
Practice address
1825 Navarre Sound Cir
Navarre,, FL 32566
Phone
(651) 248-2706
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Jessica Tokarev, BEHAVIORAL ANALYSTNPI 1821540097
Title
Owner
Phone
(651) 248-2706

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 AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1825 Navarre Sound Cir
Navarre,, FL 32566

Mailing address

1825 Navarre Sound Cir
Navarre,, FL 32566
Phone (651) 248-2706

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1568171981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NAVARRE SOUND CIR",
            "city": "NAVARRE,",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "651-248-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NAVARRE SOUND CIR",
            "city": "NAVARRE,",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "651-248-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIOR COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "TOKAREV",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-248-2706",
        "authorized_official_credential": "BEHAVIORAL ANALYST"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre,, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.