Amira Jade Ray

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56131 Issued in FL

Practice address

4460 Hodges Blvd Apt 1012
Jacksonville, FL 32224-5210

Phone

(856) 534-9421

NPI assigned

Sep 11, 2018

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Behavioral Solutions

  dba Bloom Rehabilitative Services

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1780088609
  NPD (past)
• Bloom Behavioral Solutions, Inc.

  dba Bloom Rehabilitation Services

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1881953347
  NPD (past)
• Proactive Life Skills LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1902331382
  NPD (past)
• Compass ABA LLC

  • Behavior Analyst
  • Mahwah, NJ
  • NPI 1962003483
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1720561293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 HODGES BLVD APT 1012",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 HODGES BLVD APT 1012",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245210",
            "telephone_number": "856-534-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9141 Cypress Green Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562006",
            "country_code": "US",
            "telephone_number": "904-647-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "997 Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322333311",
            "country_code": "US",
            "telephone_number": "904-647-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "AMIRA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56131",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-18-50084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Rawlinson
• Claire Elizabeth Rawls
• Renard Rawls, MD
• Sherrelle S Rawls
• Sojham Andreina Ray Cruz, RBT
• Belton Craig Ray, M.D.
• Cynthia Ray, LMHC
• Gabrielle Ray
• Jordan Ray, MD
• Kaitlin Anne Ray, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.