Individual provider Active NPI

Megan Aspasia Benopoulos

  • Behavior Technician
  • Panama City Beach, FL
National Provider Identifier
1851965685
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-148994 Issued in FL
Practice address
415 N Richard Jackson Blvd Ste 209
Panama City Beach, FL 32407-3694
Phone
(850) 418-7215
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-148994 FL Primary

Addresses

Primary practice location

415 N Richard Jackson Blvd Ste 209
Panama City Beach, FL 32407-3694

Mailing address

415 N Richard Jackson Blvd Ste 209
Panama City Beach, FL 32407-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-20-148994FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1851965685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 209",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 209",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "850-418-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOPOULOS",
        "first_name": "MEGAN",
        "middle_name": "ASPASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-148994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.