Individual provider Active NPI

Aliyah Longhurst, BCBA, LMFT

  • Behavior Analyst
  • Port St Lucie, FL
National Provider Identifier
1770779597
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5013 Issued in FL
Practice address
10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407
Phone
(561) 400-1634
NPI assigned
Sep 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2884 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-09-5013 FL Primary

Addresses

Primary practice location

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407

Mailing address

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407
Phone (561) 400-1634

Other practice location 1

3315 NW Perimeter Rd
Palm City, FL 34990-4916
Phone (772) 463-0444

Other practice location 2

2708 NE 14th St Apt 5
Pompano Beach, FL 33062-3564
Phone (954) 603-7885

Other practice location 3

123 NW 13th St Ste 305B
Boca Raton, FL 33432-1645
Phone (786) 230-6591

Other practice location 4

3315 NW Perimeter Rd
Palm City, FL 34990-4916
Phone (772) 463-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT2884FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth & Norman Rales Jewish Family Services Inc Behavior Analyst Current Accepting new patients
Toby and Leon Cooperman Therapy and Family Resource Center Behavior Analyst Current Accepting new patients
Butterfly Effects Past Accepting new patients
Behavior Basics, Incorporated Behavior Analyst Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770779597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "561-400-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "561-400-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 NW Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349904916",
            "country_code": "US",
            "telephone_number": "772-463-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2708 NE 14th St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330623564",
            "country_code": "US",
            "telephone_number": "954-603-7885",
            "fax_number": "954-342-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 NW 13th St Ste 305B",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321645",
            "country_code": "US",
            "telephone_number": "786-230-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 NW Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349904916",
            "country_code": "US",
            "telephone_number": "772-463-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGHURST",
        "first_name": "ALIYAH",
        "credential": "BCBA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2884",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-09-5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.