Robert Lyle Estes, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-01-0504

Practice address

119 Summer Breeze Rd
Panama City Beach, FL 32413-2086

Phone

(850) 233-3647

NPI assigned

Aug 8, 2006

Last updated

Oct 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1780694554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SUMMER BREEZE RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132086",
            "telephone_number": "850-233-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SUMMER BREEZE RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132086",
            "telephone_number": "850-233-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "ROBERT",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-01-0504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671972402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.