Active NPI
Scott Kozlowski, BCBA
- Behavior Analyst
- Ft. Myers, FL
National Provider Identifier
1871878173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5686
- Practice address
- 5335 Shalley Cir.
Ft. Myers, FL 33919 - Phone
- (239) 425-5304
- NPI assigned
- Oct 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5686 | FL | Primary |
Addresses
Primary practice location
5335 Shalley Cir.
Ft. Myers, FL 33919
Mailing address
5335 Shalley Cir.
Ft. Myers, FL 33919
Phone (239) 425-5304
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1871878173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 SHALLEY CIR.",
"city": "FT. MYERS",
"state": "FL",
"postal_code": "33919",
"telephone_number": "239-425-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 SHALLEY CIR.",
"city": "FT. MYERS",
"state": "FL",
"postal_code": "33919",
"telephone_number": "239-425-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "SCOTT",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-09-5686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.