Active NPI
Sos of Gulf Breeze Inc.
- Behavior Analyst
- Gulf Breeze, FL
National Provider Identifier
1740079524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SOS OF GULF BREEZE INC.
- Practice address
- 2990 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3100 - Phone
- (850) 324-7702
- NPI assigned
- May 6, 2025
- 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
- Ryan Peat
- Title
- Owner
- Phone
- (850) 324-7702
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X |
Addresses
Primary practice location
2990 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3100
Mailing address
101 Chanteclaire Cir
Gulf Breeze, FL 32561-4061
Phone (850) 324-7702
National Provider Directory
National Provider DirectoryLocations
2990 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 296-2626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1740079524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CHANTECLAIRE CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614061",
"telephone_number": "850-324-7702",
"fax_number": "850-324-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633100",
"telephone_number": "850-324-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOS OF GULF BREEZE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "PEAT",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-324-7702"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.