Individual provider Active NPI

Janiya Devaughn

  • Behavior Technician
  • Dunnellon, FL
National Provider Identifier
1811678261
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23287279 Issued in FL
Practice address
11808 N Ohio St
Dunnellon, FL 34431-6724
Phone
(352) 342-5006
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X 23287279 FL Primary

Addresses

Primary practice location

11808 N Ohio St
Dunnellon, FL 34431-6724

Mailing address

834 N Griffith Ave
Crystal River, FL 34429-7669
Phone (352) 257-1449

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
23287279FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Behavior Solutions, LLC Single Specialty CurrentSince Feb 18, 2024 Accepting new patients

Locations

11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1811678261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N GRIFFITH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297669",
            "telephone_number": "352-257-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 N OHIO ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316724",
            "telephone_number": "352-342-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUGHN",
        "first_name": "JANIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23287279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.