NPIMap

Organization Active NPI

Athena Behavior Consult

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1851965271
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ATHENA BEHAVIOR CONSULT
Practice address
1219 SE 34TH St
Cape Coral, FL 33904-4291
Phone
(239) 703-3502
Fax
(844) 640-0724
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Grissel Alfonso GonzalezNPI 1295201846
Title
Owner
Phone
(239) 703-3502

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 1

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

Addresses

Primary practice location

1219 SE 34TH St
Cape Coral, FL 33904-4291

Mailing address

1219 SE 34TH St
Cape Coral, FL 33904-4291
Phone (239) 703-3502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1851965271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SE 34TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044291",
            "telephone_number": "239-703-3502",
            "fax_number": "844-640-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE 34TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044291",
            "telephone_number": "239-703-3502",
            "fax_number": "844-640-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA BEHAVIOR CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "ALFONSO GONZALEZ",
        "authorized_official_first_name": "GRISSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-703-3502"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.