Organization Active NPI

Grow & Shine Services

  • Behavior Analyst
  • Port Charlotte, FL
National Provider Identifier
1689420168
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GROW & SHINE SERVICES
Practice address
1777 Tamiami TRL Ste 304-6
Port Charlotte, FL 33948-4088
Phone
(786) 285-2097
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Imandra RamosNPI 1285385013
Title
Owner
Phone
(786) 285-2097

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1777 Tamiami TRL Ste 304-6
Port Charlotte, FL 33948-4088

Mailing address

1610 SW 6TH Ave
Cape Coral, FL 33991-3420
Phone (786) 285-2097

National Provider Directory

National Provider Directory

Locations

1777 Tamiami Trl
Ste 304-6
Port Charlotte, FL 33948
Phone (786) 285-2097

Practitioners & affiliated clinicians

Practitioners 1

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": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1689420168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SW 6TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913420",
            "telephone_number": "786-285-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 TAMIAMI TRL STE 304-6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484088",
            "telephone_number": "786-285-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW & SHINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "IMANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-285-2097"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.