Organization Active NPI

Cserv

  • Behavior Analyst
  • Mount Dora, FL
National Provider Identifier
1992104087
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CSERV
Practice address
521 E 5TH Ave
Mount Dora, FL 32757-5623
Phone
(352) 383-2580
Fax
(352) 385-1434
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mark Chambers
Title
Administrator
Phone
(352) 383-2580

Specialties & licenses 1

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

Addresses

Primary practice location

521 E 5TH Ave
Mount Dora, FL 32757-5623

Mailing address

521 E 5TH Ave
Mount Dora, FL 32757-5623
Phone (352) 383-2580

National Provider Directory

National Provider Directory

Locations

521 E 5th Ave
Mount Dora, FL 32757
Phone (352) 383-2580

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1992104087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 5TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575623",
            "telephone_number": "352-383-2580",
            "fax_number": "352-385-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 5TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575623",
            "telephone_number": "352-383-2580",
            "fax_number": "352-385-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-383-2580"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.