NPIMap

Organization Active NPI

Shallie, LLC

Doing business as All About Behavior

  • Behavior Analyst
  • Lake Mary, FL
National Provider Identifier
1619750064
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHALLIE, LLC
Doing business as
All About Behavior
Practice address
305 Waymont CT
Lake Mary, FL 32746-3566
Phone
(407) 731-0940
NPI assigned
Aug 17, 2023
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Mrs. Shaveta Suri, BCBANPI 1811122054
Title
Owner
Phone
(407) 731-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

305 Waymont CT
Lake Mary, FL 32746-3566

Mailing address

305 Waymont CT
Lake Mary, FL 32746-3566
Phone (407) 731-0940

Other practice location 1

2950 Forsyth Rd
Winter Park, FL 32792-6690
Phone (407) 731-0940

Other names 1

  • All About Behavior Doing business as

National Provider Directory

National Provider Directory

Locations

305 Waymont Ct
Ste 101
Lake Mary, FL 32746
Phone (321) 316-3823

2950 Forsyth Rd
Winter Park, FL 32792
Phone (407) 731-0940

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1619750064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463566",
            "telephone_number": "407-731-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463566",
            "telephone_number": "407-731-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Forsyth Rd",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327926690",
            "country_code": "US",
            "telephone_number": "407-731-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHALLIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "SHAVETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-731-0940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Behavior",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All About Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.