Active NPI
Michelle J Hart, MSED, BCBA
- Behavior Analyst
- Live Oak, FL
National Provider Identifier
1811446370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 8856 131St Rd
Live Oak, FL 32060-4403 - Phone
- (386) 209-3545
- NPI assigned
- Sep 26, 2016
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Behavior Technician | 106S00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | 118405500 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
8856 131St Rd
Live Oak, FL 32060-4403
Mailing address
8856 131St Rd
Live Oak, FL 32060-4403
Phone (386) 209-3545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118405500 | Medicaid | FL | |
| 019534100 | Medicaid | FL |
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 |
|---|---|---|---|
| 118405500 | FL | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1811446370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8856 131ST RD",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320604403",
"telephone_number": "386-209-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8856 131ST RD",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320604403",
"telephone_number": "386-209-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MICHELLE",
"middle_name": "J",
"credential": "MSED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": "118405500",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118405500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019534100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.