Organization Active NPI

Behavioral Momentum LLC

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1972995033
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
29309 Issued in AL
Legal business name
BEHAVIORAL MOMENTUM LLC
Practice address
224 Belhaven Dr
Dothan, AL 36303-4041
Phone
(334) 796-0398
Fax
(334) 323-7979
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Mrs. Allison Marie Collins, M.S., BCBA
Title
Owner
Phone
(334) 796-0398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 29309 AL Primary

Addresses

Primary practice location

224 Belhaven Dr
Dothan, AL 36303-4041

Mailing address

224 Belhaven Dr
Dothan, AL 36303-4041
Phone (334) 796-0398

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1972995033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BELHAVEN DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034041",
            "telephone_number": "334-796-0398",
            "fax_number": "334-323-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BELHAVEN DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034041",
            "telephone_number": "334-796-0398",
            "fax_number": "334-323-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MOMENTUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-796-0398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "29309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.