Innovative Behavior Management, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INNOVATIVE BEHAVIOR MANAGEMENT, INC.

Practice address

3308 Cleveland Heights Blvd
Lakeland, FL 33803-4717

Phone

(813) 525-5468

Fax

(800) 617-7938

NPI assigned

Jan 3, 2025

Organization subpart

No

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

Authorized official

Name

Stacey Denise Simonds, BCBANPI 1467605949

Title

President

Phone

(813) 525-5468

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Stacey D Simonds, BCBA

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1467605949
  NPD Authorized official
• Crystal Alderman, BCBA

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1699296152
  NPD (past)
• Ashlyn Hutchison

  • Assistant Behavior Analyst
  • Lakeland, FL
  • NPI 1386262475
  NPD (past)

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1841009859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E MERRIN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673923",
            "telephone_number": "813-525-5468",
            "fax_number": "800-617-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 CLEVELAND HEIGHTS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034717",
            "telephone_number": "813-525-5468",
            "fax_number": "800-617-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIOR MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "SIMONDS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-525-5468",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.