NPIMap

Organization Active NPI

Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
National Provider Identifier
1760627905
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
APPLIED BEHAVIORAL LEARNING EXPERIENCES, INC
Practice address
454 W Pipkin Rd
Lakeland, FL 33813-2545
Phone
(863) 619-2809
Fax
(863) 646-9590
NPI assigned
Dec 2, 2008
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Mrs. Stacey Lyn Osmon, M.S. ED, BCBANPI 1003048539
Title
Behavior Analyst
Phone
(863) 581-1583

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

454 W Pipkin Rd
Lakeland, FL 33813-2545

Mailing address

PO Box 2112
Lakeland, FL 33806-2112
Phone (863) 581-1583

Other practice location 1

145 E Edgewood Dr
Lakeland, FL 33803-4014
Phone (863) 619-2809

Other identifiers 2

IdentifierTypeStateIssuer
017634700MedicaidFL
687700196MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavioral Learning Experiences Inc2 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.

Locations

454 W Pipkin Rd
Lakeland, FL 33813

Practitioners & affiliated clinicians

Practitioners 163

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 163

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1760627905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338062112",
            "telephone_number": "863-581-1583",
            "fax_number": "863-644-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W PIPKIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132545",
            "telephone_number": "863-619-2809",
            "fax_number": "863-646-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 E Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034014",
            "country_code": "US",
            "telephone_number": "863-619-2809",
            "fax_number": "863-644-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL LEARNING EXPERIENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "OSMON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "863-581-1583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017634700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687700196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.