Active NPI
Cserv
- Behavior Analyst
- Mount Dora, FL
National Provider Identifier
1992104087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.