NPIMap

Organization Active NPI

Foundations in Behavior, LLC

  • Community/Behavioral Health Agency
  • Lake Mary, FL
National Provider Identifier
1982145306
Registry record updated Apr 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-09-5012
Legal business name
FOUNDATIONS IN BEHAVIOR, LLC
Practice address
255 Primera Blvd
Suite 160B
Lake Mary, FL 32746-2158
Phone
(765) 776-6668
NPI assigned
Mar 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2017

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

Authorized official

Name
Mr. Lorne Thomas Balmer, BCBANPI 1467812826
Title
Behavior Analyst/Owner
Phone
(765) 776-6668

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
Community/Behavioral Health Agency 251S00000X 0-16-7295
Community/Behavioral Health Agency 251S00000X 1-09-5012 Primary

Addresses

Primary practice location

255 Primera Blvd
Suite 160B
Lake Mary, FL 32746-2158

Mailing address

255 Primera Blvd
Suite 160B
Lake Mary, FL 32746-2158
Phone (765) 776-6668

Other identifiers 2

IdentifierTypeStateIssuer
018833200MedicaidFL
018489600MedicaidFL

National Provider Directory

National Provider Directory

Locations

255 Primera Blvd
Ste 160B
Lake Mary, FL 32746
Phone (407) 440-0500

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491609600000",
    "number": "1982145306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD",
            "address_2": "SUITE 160B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "765-776-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD",
            "address_2": "SUITE 160B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "765-776-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS IN BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-04-08",
        "status": "A",
        "authorized_official_last_name": "BALMER",
        "authorized_official_first_name": "LORNE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "765-776-6668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "0-16-7295",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "1-09-5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018833200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018489600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; 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.