Integrated Roots Behavioral Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7146 Issued in FL

Legal business name

INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC

Practice address

1021 39TH Ave NE
St Petersburg, FL 33703-5223

Phone

(727) 637-3100

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie L Zielinski, MA; BCBA

Title

Owner

Phone

(727) 637-3100

Specialties & licenses 3

Addresses

Practitioners 2

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

• Helen Katerina Sakis, BA

  • Behavior Technician
  • St Petersburg, FL
  • NPI 1982118691
  NPD (past)
• Gabriella Ann Moran, BCBA

  • Behavior Analyst
  • Granada Hills, CA
  • NPI 1063925956
  NPD (past)

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1942676812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 39TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035223",
            "telephone_number": "727-637-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 39TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035223",
            "telephone_number": "727-637-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-637-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA; BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-10-7146",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in St Petersburg, FL
• Providers in St Petersburg, 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, 2016; 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.