NPIMap

Organization Active NPI

Behavior Services of Brevard County

  • Behavior Analyst
  • Rockledge, FL
National Provider Identifier
1750828323
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1041993 Issued in FL
Legal business name
BEHAVIOR SERVICES OF BREVARD COUNTY
Practice address
550 Solutions Way
Rockledge, FL 32955-3620
Phone
(321) 739-9800
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Karen Wagner, BCBA-DNPI 1184876096
Title
Ceo/President
Phone
(321) 639-9800

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1041993 FL Primary

Addresses

Primary practice location

550 Solutions Way
Rockledge, FL 32955-3620

Mailing address

36227 E Eldorado Lake Dr
Eustis, FL 32736-9474
Phone (941) 357-6840

National Provider Directory

National Provider Directory
Tax ID family
Behavior Education Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1750828323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36227 E ELDORADO LAKE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327369474",
            "telephone_number": "941-357-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SOLUTIONS WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553620",
            "telephone_number": "321-739-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SERVICES OF BREVARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "321-639-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1041993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.