Behavior Analysis Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEHAVIOR ANALYSIS SOLUTIONS

Practice address

692 Greenglen LN
Palm Harbor, FL 34684-3024

Phone

(727) 504-6539

Fax

(727) 322-9839

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Matt Potak, MS, BCBA

Title

President

Phone

(727) 504-6539

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Potak

  • Behavior Analyst
  • Safety Harbor, FL
  • NPI 1962736132
  NPD (past)

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1578867941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 GREENGLEN LN",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843024",
            "telephone_number": "727-504-6539",
            "fax_number": "727-322-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 GREENGLEN LN",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843024",
            "telephone_number": "727-504-6539",
            "fax_number": "727-322-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR ANALYSIS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "POTAK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-504-6539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "686457196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Becker, LMHC
• Sean Bedi, PT, DPT
• Catherine R Bedy, LCSW
• Linda Begin
• Mirza Begovic
• Behavior Analysis Support Services, Inc
• Behavioral Change Solutions, LLC
• Douglas Stanley Beil, D.D.S
• Lynn Beksha, LMHC
• Linda Belderok

• Community/Behavioral Health Agency in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.