Abigail Joseph

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-189632 Issued in FL

Practice address

160 E Lake Brantley Dr
Longwood, FL 32779-4807

Phone

(321) 297-6720

Fax

(321) 295-7027

NPI assigned

Jan 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Behavior Change and Associates

  • Behavior Analyst
  • Longwood, FL
  • NPI 1366928251
  NPD

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1821741240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-297-6720",
            "fax_number": "321-295-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-297-6720",
            "fax_number": "321-295-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-189632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon D Wiese MD Facs PA
• Emily Jones
• Maylynn Jones, MSW
• Shawntrece Jones
• Tina Marie Jones, ARNP
• Daniel Alexander Joseph, M.ED., LMHC
• Nicholas Joseph, PHD
• Sumire Joseph
• Susan Carol Joseph, PT
• Tasandra Joseph, MSW

• Behavior Technician in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.