Active NPI
Behavior Heights Corp
- Behavior Analyst
- Palm Bay, FL
National Provider Identifier
1609559764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEHAVIOR HEIGHTS CORP
- Practice address
- 405 Lake View LN
Palm Bay, FL 32909-7126 - Phone
- (786) 773-8356
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica M Medina
- Title
- SVP
- Phone
- (786) 773-8356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
405 Lake View LN
Palm Bay, FL 32909-7126
Mailing address
405 Lake View LN
Palm Bay, FL 32909-7126
Phone (786) 773-8356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548751993 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1609559764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 LAKE VIEW LN",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329097126",
"telephone_number": "786-773-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 LAKE VIEW LN",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329097126",
"telephone_number": "786-773-8356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIOR HEIGHTS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "786-773-8356",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548751993",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.