Active NPI
John Allen Hall II
- Behavior Technician
- Stuart, FL
National Provider Identifier
1821501958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9150 SW 21St Dr
Stuart, FL 34997-7925 - Phone
- (772) 222-5560
- Fax
- (772) 617-6621
- NPI assigned
- Nov 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
9150 SW 21St Dr
Stuart, FL 34997-7925
Mailing address
9150 SW 21St Dr
Stuart, FL 34997-7925
Phone (772) 222-5560
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast ABA Services | Single Specialty | Past | Accepting new patients |
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": "1510358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510358400000",
"number": "1821501958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 SW 21ST DR",
"city": "STUART",
"state": "FL",
"postal_code": "349977925",
"telephone_number": "772-222-5560",
"fax_number": "772-617-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 SW 21ST DR",
"city": "STUART",
"state": "FL",
"postal_code": "349977925",
"telephone_number": "772-222-5560",
"fax_number": "772-617-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JOHN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-11",
"last_updated": "2017-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.