Active NPI
Ryan Owens
- Behavior Analyst
- Palm Bay, FL
National Provider Identifier
1801290689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1320 Culver Dr NE
Palm Bay, FL 32907-1104 - Phone
- (321) 610-3849
- NPI assigned
- Oct 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7126 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1320 Culver Dr NE
Palm Bay, FL 32907-1104
Mailing address
1312 Guilpen St. NW
Palm Bay, FL 32907
Phone (321) 961-0356
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7126 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1801290689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 GUILPEN ST. NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-961-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CULVER DR NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329071104",
"telephone_number": "321-610-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "7126",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.