Organization Active NPI

Unlimited Possibilities Behavior & Transitions Support, LLC

  • Behavior Analyst
  • Marianna, FL
National Provider Identifier
1831608207
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23058 Issued in FL
Legal business name
UNLIMITED POSSIBILITIES BEHAVIOR & TRANSITIONS SUPPORT, LLC
Practice address
4438 Davis St
Marianna, FL 32446-3125
Phone
(850) 272-6099
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ann Marie Shelton, BCBANPI 1790237493
Title
Behavior Analyst/Co-Founder
Phone
(850) 569-5827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-16-23058 FL Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X 17417368844 FL

Addresses

Primary practice location

4438 Davis St
Marianna, FL 32446-3125

Mailing address

5865 Neals Landing Rd
Bascom, FL 32423-9213
Phone (850) 569-5827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1831608207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 NEALS LANDING RD",
            "city": "BASCOM",
            "state": "FL",
            "postal_code": "324239213",
            "telephone_number": "850-569-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 DAVIS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463125",
            "telephone_number": "850-272-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED POSSIBILITIES BEHAVIOR & TRANSITIONS SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/CO-FOUNDER",
        "authorized_official_telephone_number": "850-569-5827",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-23058",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "17417368844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.