Organization Active NPI

Gulf Breeze Behavior Analytic Services and Consultation LLC

Doing business as Gulf Breeze ABA

  • Behavior Analyst
  • North Port, FL
National Provider Identifier
1659121994
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GULF BREEZE BEHAVIOR ANALYTIC SERVICES AND CONSULTATION LLC
Doing business as
Gulf Breeze ABA
Practice address
8721 San Pablo Ave
North Port, FL 34287-5423
Phone
(941) 626-6644
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mrs. Chelsea Suzanne Plantz, BCBANPI 1487133310
Title
Lead Analyst
Phone
(941) 626-6644

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

8721 San Pablo Ave
North Port, FL 34287-5423

Mailing address

PO Box 7393
North Port, FL 34290-0393

Other names 1

  • Gulf Breeze ABA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1659121994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7393",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342900393",
            "fax_number": "941-564-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 SAN PABLO AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342875423",
            "telephone_number": "941-626-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE BEHAVIOR ANALYTIC SERVICES AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PLANTZ",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "LEAD ANALYST",
        "authorized_official_telephone_number": "941-626-6644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Breeze ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.