Active NPI
Shelby Dobbs
- Behavior Technician
- Melbourne, FL
National Provider Identifier
1679020804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-22583
- Practice address
- 475 S John Rodes Blvd
Melbourne, FL 32904-1093 - Phone
- (321) 241-1170
- Fax
- (321) 241-1171
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-22583 | FL | Primary |
Addresses
Primary practice location
475 S John Rodes Blvd
Melbourne, FL 32904-1093
Mailing address
475 S John Rodes Blvd
Melbourne, FL 32904-1093
Phone (321) 241-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622583 | Other | FL | RBT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-22583 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sonder Academy | Past | 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.
-
- Behavior Analyst
- Melbourne, FL
- NPI 1023549680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1679020804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 S JOHN RODES BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329041093",
"telephone_number": "321-241-1170",
"fax_number": "321-241-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S JOHN RODES BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329041093",
"telephone_number": "321-241-1170",
"fax_number": "321-241-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-16-22583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "1622583",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.