Active NPI
Michelle White, BCBA-D
- Developmental Disabilities Clinic/Center
- Cape Coral, FL
National Provider Identifier
1962790667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 2710 Del Prado Blvd S # 2-146
Cape Coral, FL 33904-5788 - Phone
- (239) 246-6157
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1010726 | FL | |
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
2710 Del Prado Blvd S # 2-146
Cape Coral, FL 33904-5788
Mailing address
2710 Del Prado Blvd S # 2-146
Cape Coral, FL 33904-5788
Phone (239) 246-6157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010726 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962790667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 DEL PRADO BLVD S # 2-146",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045788",
"telephone_number": "239-246-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 DEL PRADO BLVD S # 2-146",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045788",
"telephone_number": "239-246-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1010726",
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.