Michelle Autumn Pearson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12258592 Issued in FL

Practice address

4553 Grand Blvd Ste 206
New Port Richey, FL 34652-5157

Phone

(727) 534-3234

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Experts LLC

  • Behavior Analyst
  • New Port Richey, FL
  • NPI 1114693439
  NPD
• Serenity Residence

  • Home Health Aide
  • New Port Richey, FL
  • NPI 1366360232
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1912695495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12586 JAYBIRD RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346143267",
            "telephone_number": "352-556-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 GRAND BLVD STE 206",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525157",
            "telephone_number": "727-534-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MICHELLE",
        "middle_name": "AUTUMN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12258592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Vaughn Pawson, LMHC
• Jayashree Payappagoudar, M.D.
• Nicole A Payton
• PCHG Specialty Services, Inc.
• McKenzie Rae Pearson, DPT
• Michelle Lee Pecora
• Pediatrics at River's Edge, Inc
• Michele E Pedulla, ARNP
• Maria Faith Peil
• Lourdes M Pelaez-Echevarria, DO

• Behavior Analyst in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.