NPIMap

Organization Active NPI

Evolve Behavior Therapy Services LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1740955210
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVOLVE BEHAVIOR THERAPY SERVICES LLC
Practice address
1910 Park Meadows Dr Ste 103
Fort Myers, FL 33907-3830
Phone
(239) 260-4218
Fax
(239) 900-1283
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Ginger L BeehlerNPI 1083113666
Title
Owner
Phone
(651) 795-1755

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

1910 Park Meadows Dr Ste 103
Fort Myers, FL 33907-3830

Mailing address

1910 Park Meadows Dr Ste 103
Fort Myers, FL 33907-3830
Phone (239) 260-4218

National Provider Directory

National Provider Directory

Locations

10491 6 Mile Cypress Pkwy
Ste 282
Fort Myers, FL 33966
Phone (786) 800-1633

1910 Park Meadows Dr
Ste 103
Fort Myers, FL 33907
Phone (239) 260-4218

Practitioners & affiliated clinicians

Practitioners 5

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": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1740955210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PARK MEADOWS DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073830",
            "telephone_number": "239-260-4218",
            "fax_number": "239-900-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PARK MEADOWS DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073830",
            "telephone_number": "239-260-4218",
            "fax_number": "239-900-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE BEHAVIOR THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "BEEHLER",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-795-1755"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.