NPIMap

Organization Active NPI

Jupiter Applied Behavior Analysis LLC

  • Behavior Technician
  • Port Saint Lucie, FL
National Provider Identifier
1740712629
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
JUPITER APPLIED BEHAVIOR ANALYSIS LLC
Practice address
6560 NW Chugwater Cir
Port Saint Lucie, FL 34983-2305
Phone
(561) 214-1518
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Arielle GarciaNPI 1114377520
Title
Owner
Phone
(561) 214-1518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X FL Primary

Addresses

Primary practice location

6560 NW Chugwater Cir
Port Saint Lucie, FL 34983-2305

Mailing address

6560 NW Chugwater Cir
Port Saint Lucie, FL 34983-2305

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1740712629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 NW CHUGWATER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 NW CHUGWATER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832305",
            "telephone_number": "561-214-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER APPLIED BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-214-1518"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.