North Florida Behavioral Consultants LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTH FLORIDA BEHAVIORAL CONSULTANTS LLC

Practice address

462 Aquatic Dr
Atlantic Beach, FL 32233-3834

Phone

(904) 252-0427

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Clifford Charles Burditt Jr., BCBANPI 1154600419

Title

Manager

Phone

(904) 252-0427

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifford C Burditt Jr., BCBA

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1154600419
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1922758804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 AQUATIC DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333834",
            "telephone_number": "904-252-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 AQUATIC DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333834",
            "telephone_number": "904-252-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA BEHAVIORAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BURDITT",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-252-0427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "462 Aquatic Dr",
            "city": "Atlantic Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322333834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Atlantic Beach, FL
• Providers in Atlantic Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.