Mbknowles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

MBKNOWLES

Practice address

2065 SE Lennard Rd Apt 307
Port St Lucie, FL 34952-4753

Phone

(772) 284-1873

Fax

(772) 207-5808

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Madison Brittany Knowles

Title

Behavior Technician

Phone

(772) 284-1873

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1821520503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SE LENNARD RD APT 307",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-284-1873",
            "fax_number": "772-207-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 SE LENNARD RD APT 307",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524753",
            "telephone_number": "772-284-1873",
            "fax_number": "772-207-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBKNOWLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "BRITTANY",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "772-284-1873"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017716200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soyini Y May, MSN, APRN, FNP-C
• Whitney Evan Mayberry, MD
• Miriam Joy Maycock-Doss, ARNP
• Timothy Mayer, LMHC
• Matthew Mazur, MD
• Nicole McAuliffe, MSN, APRN, FNP-C
• Samantha Talicia McBean
• Kelcie Erin McCafferty
• Julianna Brooke McCauley
• Jameka McClearin

• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.