Individual provider Active NPI

Paul Garry Saint-Louis, BCBA

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1639481799
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-02-0503 Issued in FL
Practice address
11503 Canopy Loop Apt 103
Fort Myers, FL 33913-9457
Phone
(305) 917-3169
Fax
(888) 441-6806
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-02-0503 FL Primary

Addresses

Primary practice location

11503 Canopy Loop Apt 103
Fort Myers, FL 33913-9457

Mailing address

11503 Canopy Loop Apt 103
Fort Myers, FL 33913-9457
Phone (305) 917-3169

Other practice location 1

4361 SW 160th Ave
#103
Miramar, FL 33027-5725
Phone (786) 290-5525

Other identifiers 1

IdentifierTypeStateIssuer
019955800MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Potential LLC Behavior Analyst CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1639481799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 CANOPY LOOP APT 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139457",
            "telephone_number": "305-917-3169",
            "fax_number": "888-441-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 CANOPY LOOP APT 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139457",
            "telephone_number": "305-917-3169",
            "fax_number": "888-441-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4361 SW 160th Ave",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330275725",
            "country_code": "US",
            "telephone_number": "786-290-5525",
            "fax_number": "786-290-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINT-LOUIS",
        "first_name": "PAUL",
        "middle_name": "GARRY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-02-0503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019955800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.