Organization Active NPI

Advanced Behavioral Analysis, LLC

  • Behavior Analyst
  • Santa Rosa Beach, FL
National Provider Identifier
1639735657
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCED BEHAVIORAL ANALYSIS, LLC
Practice address
585 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3111
Phone
(850) 213-4595
Fax
(850) 213-4596
NPI assigned
May 15, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Calley MiddlebrooksNPI 1255535597
Title
MGR
Phone
(850) 213-4595

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

585 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3111

Mailing address

585 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3111
Phone (850) 213-4595

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address aba@southwaltonacademy.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639735657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593111",
            "telephone_number": "850-213-4595",
            "fax_number": "850-213-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593111",
            "telephone_number": "850-213-4595",
            "fax_number": "850-213-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "CALLEY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "850-213-4595",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aba@southwaltonacademy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "585 Mack Bayou Rd",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324593111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.