Active NPI
Marilyn Greenfield
- Behavior Technician
- Ponte Vedra Beach, FL
National Provider Identifier
1982011680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT--19-75783
- Practice address
- 130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833 - Phone
- (904) 638-6388
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT--19-75783 | FL | Primary |
Addresses
Primary practice location
130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Mailing address
130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Phone (904) 638-6388
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 |
|---|---|---|---|
| RBT--19-75783 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nocal Behavioral Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Ponte Vedra, FL
- NPI 1184084782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1982011680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CORRIDOR RD UNIT 3292",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320047833",
"telephone_number": "904-638-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CORRIDOR RD UNIT 3292",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320047833",
"telephone_number": "904-638-6388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "MARILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT--19-75783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.