NPIMap

Organization Active NPI

Evergreen Tree ABA Corp

  • Behavior Analyst
  • Ocala, FL
National Provider Identifier
1770427007
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERGREEN TREE ABA CORP
Practice address
5100 W FL-40
Suite 100 Office 26
Ocala, FL 34482
Phone
(954) 812-5912
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Natalia Fonseca
Title
Owner
Phone
(954) 812-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5100 W FL-40
Suite 100 Office 26
Ocala, FL 34482

Mailing address

5100 W FL-40
Suite 100 Office 26
Ocala, FL 34482
Phone (954) 812-5912

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1770427007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W FL-40",
            "address_2": "SUITE 100 OFFICE 26",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34482",
            "telephone_number": "954-812-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W FL-40",
            "address_2": "SUITE 100 OFFICE 26",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34482",
            "telephone_number": "954-812-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN TREE ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-812-1305"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.