Cornerstone Behavioral Consulting, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CORNERSTONE BEHAVIORAL CONSULTING, LLC.

Practice address

4009 Charanna LN
Panama City, FL 32409-2171

Phone

(850) 774-5292

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Savannah Faircloth, M.S., BCBANPI 1235645342

Title

Owner

Phone

(850) 774-5292

Specialties & licenses 1

Addresses

Practitioners 2

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

• Savannah Faircloth, BCBA

  • Behavior Analyst
  • Panama City, FL
  • NPI 1235645342
  NPD Authorized official
• Cassi Dale York, RBT

  • Behavior Technician
  • Panama City, FL
  • NPI 1528956141
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1619687894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CHARANNA LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324092171",
            "telephone_number": "850-832-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CHARANNA LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324092171",
            "telephone_number": "850-774-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL CONSULTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-774-5292",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Panama City, FL
• Providers in Panama City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.