Organization Active NPI

Behavioral Interventions and Coaching of Florida LLC

  • Clinical Social Worker
  • Indian Harbour Beach, FL
National Provider Identifier
1790037844
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5765 Issued in FL
Legal business name
BEHAVIORAL INTERVENTIONS AND COACHING OF FLORIDA LLC
Practice address
127 Lancha Cir
Unit 203
Indian Harbour Beach, FL 32937-5000
Phone
(321) 693-1969
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Rhonda MichaudNPI 1760734826
Title
Owner
Phone
(321) 693-1969

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5765 FL Primary

Addresses

Primary practice location

127 Lancha Cir
Unit 203
Indian Harbour Beach, FL 32937-5000

Mailing address

127 Lancha Cir
Unit 203
Indian Harbour Beach, FL 32937-5000
Phone (321) 693-1969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1790037844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LANCHA CIR",
            "address_2": "UNIT 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375000",
            "telephone_number": "321-693-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LANCHA CIR",
            "address_2": "UNIT 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375000",
            "telephone_number": "321-693-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL INTERVENTIONS AND COACHING OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-693-1969"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.