NPIMap

Organization Active NPI

Prevail Academy School and Behavior Services

  • Behavior Analyst
  • Saint Cloud, FL
National Provider Identifier
1952062663
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PREVAIL ACADEMY SCHOOL AND BEHAVIOR SERVICES
Practice address
6650 Bay Shore Dr
Saint Cloud, FL 34771-9570
Phone
(352) 462-1999
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Kelli Allen, BCBANPI 1366099640
Title
Ma Bcba / Behavior Analyst
Phone
(623) 628-5037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

6650 Bay Shore Dr
Saint Cloud, FL 34771-9570

Mailing address

6650 Bay Shore Dr
Saint Cloud, FL 34771-9570

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1952062663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 BAY SHORE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347719570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 BAY SHORE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347719570",
            "telephone_number": "352-462-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL ACADEMY SCHOOL AND BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "MA BCBA / BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "623-628-5037",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.