NPIMap

Organization Active NPI

Empowering Minds

  • Behavior Technician
  • Crestview, FL
National Provider Identifier
1679369755
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
EMPOWERING MINDS
Practice address
1001 Industrial Dr
Crestview, FL 32539-6943
Phone
(850) 400-6098
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Jacob Dylan LambertNPI 1578350690
Title
RBT
Phone
(850) 896-5946

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 TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

1001 Industrial Dr
Crestview, FL 32539-6943

Mailing address

124 Thomas Dr SE
Laurel Hill, FL 32567-3617
Phone (850) 896-5946

National Provider Directory

National Provider Directory

Locations

1001 Industrial Dr
Crestview, FL 32539
Phone (850) 331-3608

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1679369755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 THOMAS DR SE",
            "city": "LAUREL HILL",
            "state": "FL",
            "postal_code": "325673617",
            "telephone_number": "850-896-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396943",
            "telephone_number": "850-400-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "850-896-5946"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.