Advanced Behavioral Systems

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADVANCED BEHAVIORAL SYSTEMS

Practice address

9051 Florida Mining Blvd Ste 102
Tampa, FL 33634-1240

Phone

(877) 350-5005

Fax

(847) 584-2604

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Julie Bush

Title

Credentialing Manager

Phone

(847) 584-2604

Specialties & licenses 1

Addresses

Other names 1

• Engage Behavioral Health, Inc Doing business as

Locations

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1649413006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631270",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631270",
            "telephone_number": "877-350-5005",
            "fax_number": "847-584-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 FLORIDA MINING BLVD STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341240",
            "telephone_number": "877-350-5005",
            "fax_number": "847-584-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 King Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223155757",
            "country_code": "US",
            "telephone_number": "877-350-5005",
            "fax_number": "847-584-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "847-584-2604"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engage Behavioral Health, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.