Individual provider Active NPI

Rosemary Hale, REGISTER BEHAVIOR T

  • Behavior Technician
  • Palm Coast, FL
National Provider Identifier
1598424756
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB737407 Issued in FL
Practice address
8 Wildwood LN
Palm Coast, FL 32137-3221
Phone
(386) 338-2909
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB737407 FL Primary

Addresses

Primary practice location

8 Wildwood LN
Palm Coast, FL 32137-3221

Mailing address

36 Shelter Cove Cir
Beverly Beach, FL 32136-2786
Phone (386) 338-2909

Other identifiers 2

IdentifierTypeStateIssuer
017604200MedicaidFL
112929900MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.firstcoastautism.com Health Information Exchange (HIE) First Coast Autism LLC
CONNECT URL www.strategiesincaba.com Health Information Exchange (HIE) Strategies, Inc Applied Behavior Analysis
CONNECT URL www.firstcoastautism.com Direct

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

LicenseStateTypeSpecialty
BACB737407FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1598424756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SHELTER COVE CIR",
            "city": "BEVERLY BEACH",
            "state": "FL",
            "postal_code": "321362786",
            "telephone_number": "386-338-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILDWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373221",
            "telephone_number": "386-338-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ROSEMARY",
        "credential": "REGISTER BEHAVIOR T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB737407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017604200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112929900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.firstcoastautism.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "First Coast Autism LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 Wildwood Ln",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321373221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.strategiesincaba.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Strategies, Inc Applied Behavior Analysis",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4647 Clyde Morris Blvd Unit 501",
            "city": "Port Orange",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321293001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.firstcoastautism.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 Wildwood Ln",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321373221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.