Beall & Associates Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW 5260 Issued in FL

Legal business name

BEALL & ASSOCIATES INC.

Practice address

961687 Gateway Blvd
Suite 201 N
Fernandina Beach, FL 32034-9157

Phone

(904) 277-8999

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Byron Frank Beall, LCSW. BCBA

Title

President

Phone

(904) 556-2169

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1902135486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16837",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353131",
            "telephone_number": "904-556-2169",
            "fax_number": "904-206-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961687 GATEWAY BLVD",
            "address_2": "SUITE 201 N",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349157",
            "telephone_number": "904-277-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEALL & ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-556-2169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW. BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 5260",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "BCBA 1010451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692499996",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692499998",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily C Barber, ARNP
• Barnabas Health Services, Inc.
• Alexander Thomas Barnard, AU.D.
• Kim Bartek
• James Richard Beal, PHARMD
• Byron Frank Beall, LCSW, BCBA
• Noah Clayton-John Beaudry, D.C.
• Robin A Beck, MD
• Sharon Belcher, ARNP
• Benjamin N. Diller, DDS, PA

• All providers in Fernandina Beach, FL
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.