Active NPI
Halee Tymon, BCBA
- Behavior Analyst
- Mary Esther, FL
National Provider Identifier
1992314520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-69547
- Practice address
- 124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991 - Phone
- (850) 301-0438
- Fax
- (855) 455-0214
- NPI assigned
- Jul 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-128606 | FL | |
| Behavior Analyst | 103K00000X | 1-23-69547 | FL | Primary |
Addresses
Primary practice location
124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991
Mailing address
124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991
Phone (850) 301-0438
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@abhatherapy.com |
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 |
|---|---|---|---|
| 20-128606 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Behavior and Learning, LLC | Behavior Analyst | Current | 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
- Fort Walton Beach, FL
- NPI 1942015037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1992314520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY STE 503",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691991",
"telephone_number": "850-301-0438",
"fax_number": "855-455-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY STE 503",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691991",
"telephone_number": "850-301-0438",
"fax_number": "855-455-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMON",
"first_name": "HALEE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2024-07-18",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-128606",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-69547",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@abhatherapy.com",
"affiliation": "N",
"address_1": "124 E Miracle Strip Pkwy Ste 503",
"city": "Mary Esther",
"state": "FL",
"country_code": "US",
"postal_code": "325691991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.