Fly Above Fundamental Care Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FLY ABOVE FUNDAMENTAL CARE INC

Practice address

1733 Lake Chapman Dr Unit 102
Brandon, FL 33510-4127

Phone

(813) 997-3526

Fax

(844) 423-3234

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tabitha Denise Taylor

Title

Owner

Phone

(725) 230-9102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1629678792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 LAKE CHAPMAN DR UNIT 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104127",
            "telephone_number": "844-423-3234",
            "fax_number": "844-423-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 LAKE CHAPMAN DR UNIT 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104127",
            "telephone_number": "813-997-3526",
            "fax_number": "844-423-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY ABOVE FUNDAMENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-230-9102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flos House
• Donna Yvettte Floyd
• Ryan Floyd, D.O.
• Amy Fluty
• Derek Fluty, RPH
• Brian Patrick Flynn, MD
• Lily Anna Fogel
• Samantha Kate Fogliano
• Michael J Foley, MD
• Ryan Thomas Foley, MD

• Behavior Analyst in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.