NPIMap

Organization Active NPI

North Brevard Medical Support, Inc

  • Behavior Analyst
  • Cocoa, FL
National Provider Identifier
1841829280
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NORTH BREVARD MEDICAL SUPPORT, INC
Practice address
7075 N US Highway 1
Cocoa, FL 32927-5216
Phone
(321) 268-6111
Fax
(321) 268-6231
NPI assigned
Apr 7, 2020
Organization subpart
Yes
Parent organization
NORTH BREVARD MEDICAL SUPPORT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
George Mikitarian, PRESIDENT/CEO
Title
President/Ceo
Phone
(321) 268-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7075 N US Highway 1
Cocoa, FL 32927-5216

Mailing address

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111

Other names 1

  • North Brevard Medical Support, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Brevard Medical13 organizations share this tax ID, including this one
Part of
North Brevard Medical

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1841829280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N US HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275216",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BREVARD MEDICAL SUPPORT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BREVARD MEDICAL SUPPORT, INC.",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MIKITARIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "321-268-6111",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Brevard Medical Support, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.