Community Behavior Supports, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY BEHAVIOR SUPPORTS, INC.

Practice address

4717 66TH St N
Kenneth City, FL 33709-3113

Phone

(727) 744-9829

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elvis Badnjevic

Title

President

Phone

(813) 505-4675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1912667205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093113",
            "telephone_number": "727-744-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIOR SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "BADNJEVIC",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-505-4675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.