Canopy Behavior Solutions, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4312 Issued in FL

Legal business name

CANOPY BEHAVIOR SOLUTIONS, LLC

Practice address

539 Fanny Ann Way
Freeport, FL 32439-7613

Phone

(850) 865-7109

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Dailey, M.S.NPI 1992033294

Title

Bcba

Phone

(850) 865-7109

Specialties & licenses 1

Addresses

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.

• Megan Davis Dailey, M.S., BCBA

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1992033294
  NPD (past) Authorized official

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1720533268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 FANNY ANN WAY",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324397613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 FANNY ANN WAY",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324397613",
            "telephone_number": "850-865-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "850-865-7109",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-08-4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bouchet
• Jeanne Elizabeth Brehm, L.M.T.
• Bright Star Pediatric and Adolecent Center
• Shannon Brunson, LMHC
• Hannah Burch
• Mary Ellen Caswell, MSW
• Madelyn Caudill, LCSW
• Coastal Rose ABA
• Rebecca Ann Couturier
• Cynthia Denbow, C.N.M.

• Behavior Analyst in Freeport, FL
• Providers in Freeport, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.