Organization Active NPI

Bay Area Intervention Services, LLC

  • Developmental Therapist
  • Lakeland, FL
National Provider Identifier
1922335363
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
BAY AREA INTERVENTION SERVICES, LLC
Practice address
2800 Lakeland Hills Blvd #91084
Lakeland, FL 33804-7045
Phone
(813) 495-0188
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
D S
Title
Owner
Phone
(813) 495-0188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2800 Lakeland Hills Blvd #91084
Lakeland, FL 33804-7045

Mailing address

PO Box 91084
Lakeland, FL 33804-1084

National Provider Directory

National Provider Directory

Locations

2800 Lakeland Hills Blvd
Unit 91084
Lakeland, FL 33804
Phone (813) 495-0188

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.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1922335363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91084",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LAKELAND HILLS BLVD #91084",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338047045",
            "telephone_number": "813-495-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-495-0188"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.