James Evensen, MA BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3408 S Atlantic Ave
PMB 1052
Daytona Beach Shores, FL 32118

Phone

(321) 947-1938

NPI assigned

Aug 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1942557889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTY ROAD 2006 W",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321105514",
            "telephone_number": "321-947-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 S ATLANTIC AVE",
            "address_2": "PMB 1052",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "32118",
            "telephone_number": "321-947-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSEN",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MA BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.