Active NPI
Selena Roe
- Community/Behavioral Health Agency
- Clearwater, FL
National Provider Identifier
1881131753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- BACB268792
- Legal business name
- SELENA ROE
- Practice address
- 2545 NE Coachman Rd Apt 150
Clearwater, FL 33765-1810 - Phone
- (727) 687-9261
- NPI assigned
- Jan 30, 2017
- Last updated
- Feb 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Selena Roe, Jordan, BCBA
- Title
- Behavior Analyst/ Owner
- Phone
- (727) 327-2457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BACB268792 | FL | Primary |
Addresses
Primary practice location
2545 NE Coachman Rd Apt 150
Clearwater, FL 33765-1810
Mailing address
2600 Martin Luther King St N Ste 401
St Petersburg, FL 33704-2744
Phone (727) 327-2457
National Provider Directory
National Provider Directory- Tax ID family
- Roe Associates Integrated Behavior Supports Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- St Petersburg, FL
- NPI 1891232898
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Assistant Behavior Analyst
- Clearwater, FL
- NPI 1376080200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485907200000",
"number": "1881131753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 MARTIN LUTHER KING ST N STE 401",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337042744",
"telephone_number": "727-327-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 NE COACHMAN RD APT 150",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651810",
"telephone_number": "727-687-9261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELENA ROE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2017-02-01",
"status": "A",
"authorized_official_last_name": "ROE, JORDAN",
"authorized_official_first_name": "SELENA",
"authorized_official_title_or_position": "BEHAVIOR ANALYST/ OWNER",
"authorized_official_telephone_number": "727-327-2457",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "BACB268792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.