Active NPI
Evie Altman
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1598145153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- N243200906030
- Practice address
- 644 Ferguson Dr Ste 200
Orlando, FL 32805-1023 - Phone
- (516) 972-9085
- NPI assigned
- Jun 8, 2015
- Last updated
- Apr 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB1-16-22306 | NU | |
| Behavior Analyst | 103K00000X | N243200906030 | FL | Primary |
Addresses
Primary practice location
644 Ferguson Dr Ste 200
Orlando, FL 32805-1023
Mailing address
1500 S Douglas Rd
Coral Gables, FL 33134-4108
Phone (516) 972-9085
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 |
|---|---|---|---|
| N243200906030 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1598145153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "516-972-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 FERGUSON DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051023",
"telephone_number": "516-972-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "EVIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "BACB1-16-22306",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "N243200906030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.