Great Gains Behavioral Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GREAT GAINS BEHAVIORAL SOLUTIONS LLC

Practice address

296 S Ferdon Blvd
Crestview, FL 32536-3702

Phone

(850) 333-1279

Fax

(850) 634-6079

NPI assigned

Jun 28, 2021

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

GREAT GAINS BEHAVIORAL SOLUTIONS, LLCAs reported in NPPES

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

Authorized official

Name

Annie Fischer

Title

President

Phone

(850) 585-9189

Specialties & licenses 4

Addresses

Tax ID family

Great Gains Behavioral Solutions LLC2 organizations share this tax ID, including this one

Part of

Great Gains Behavioral Solutions LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Gains Behavioral Solutions LLC

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1780010520
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Great Gains Behavioral Solutions LLC

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1780010520
  NPPES parent name

Practitioners 4

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.

• Heather Lynn Marshall, BCBA

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1114350741
  NPD
• Stephanie Armenteros

  • Behavior Technician
  • Miami, FL
  • NPI 1982448544
  NPD (past)
• Daliana Hevia, RBT

  • Behavior Technician
  • Miami, FL
  • NPI 1629823547
  NPD (past)
• Stephanie F Sobalvarro, RBT

  • Behavior Technician
  • Miami, FL
  • NPI 1407691421
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1730759275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STATE HIGHWAY 83",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337404",
            "telephone_number": "850-585-9189",
            "fax_number": "850-951-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363702",
            "telephone_number": "850-333-1279",
            "fax_number": "850-634-6079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12456 SW 127th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331866596",
            "country_code": "US",
            "telephone_number": "786-703-6218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 S Apopka Vineland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328193151",
            "country_code": "US",
            "telephone_number": "786-553-0437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 State Highway 83",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324337404",
            "country_code": "US",
            "telephone_number": "850-585-9189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 S Rio Grande Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094650",
            "country_code": "US",
            "telephone_number": "407-280-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 SW 74th St Ste 414",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331435164",
            "country_code": "US",
            "telephone_number": "786-953-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT GAINS BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT GAINS BEHAVIORAL SOLUTIONS, LLC",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-585-9189"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Gray
• Katelyn Elizabeth Gray, APRN
• Kellye D Gray, PT
• Molly Arden Gray, DPT
• Shanderico Gray
• Desiray Lavon Greer
• Laura S Griffin, LMT
• Susan Griffin, ARNP
• Mary Claire Griffith, PT, DPT
• Douglas Nathanael Grimes, CNA

• Behavior Analyst in Crestview, FL
• Providers in Crestview, 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 29, 2024; 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.