Active NPI
Positive Behavior Shaping LLC
- Behavior Analyst
- Stuart, FL
National Provider Identifier
1710226659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-06-2664
- Legal business name
- POSITIVE BEHAVIOR SHAPING LLC
- Practice address
- 7044 SE Cricket CT
Stuart, FL 34997-4745 - Phone
- (772) 473-2390
- NPI assigned
- Feb 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misty Perez Estevez
- Title
- Executive Director
- Phone
- (772) 473-2390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-06-2664 | FL | Primary |
Addresses
Primary practice location
7044 SE Cricket CT
Stuart, FL 34997-4745
Mailing address
7044 SE Cricket CT
Stuart, FL 34997-4745
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1710226659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7044 SE CRICKET CT",
"city": "STUART",
"state": "FL",
"postal_code": "349974745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7044 SE CRICKET CT",
"city": "STUART",
"state": "FL",
"postal_code": "349974745",
"telephone_number": "772-473-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE BEHAVIOR SHAPING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "PEREZ ESTEVEZ",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "772-473-2390"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-06-2664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.