Individual provider Active NPI

Shantay Geronica Frith

  • Behavior Technician
  • Dunnellon, FL
National Provider Identifier
1639919798
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-349941 Issued in FL
Practice address
11808 N Ohio St
Dunnellon, FL 34431-6724
Phone
(352) 342-5006
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-349941 FL Primary

Addresses

Primary practice location

11808 N Ohio St
Dunnellon, FL 34431-6724

Mailing address

1850 SE 18TH Ave Apt 2407
Ocala, FL 34471-8261
Phone (786) 676-1697

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

State licenses

LicenseStateTypeSpecialty
RBT-24-349941FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Behavior Solutions, LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1639919798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SE 18TH AVE APT 2407",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718261",
            "telephone_number": "786-676-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 N OHIO ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316724",
            "telephone_number": "352-342-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITH",
        "first_name": "SHANTAY",
        "middle_name": "GERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-349941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.