Active NPI
Candy Hurst, BCBA
- Behavior Analyst
- Jacksonville, FL
National Provider Identifier
1992959951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12276 San Jose Blvd
Suite 508
Jacksonville, FL 32223-8628 - Phone
- (904) 886-3228
- Fax
- (904) 886-3297
- NPI assigned
- Nov 4, 2008
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
12276 San Jose Blvd
Suite 508
Jacksonville, FL 32223-8628
Mailing address
12276 San Jose Blvd
Suite 508
Jacksonville, FL 32223-8628
Phone (904) 886-3228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-08-2541 | Other | FL | BACB CERTIFICANT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health and Rehabilitation Services, LLC | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba H2 Health
- Rehabilitation Clinic/Center
- Amarillo, TX
- NPI 1306226469
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1992959951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "SUITE 508",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-886-3228",
"fax_number": "904-886-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "SUITE 508",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-886-3228",
"fax_number": "904-886-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "CANDY",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICANT",
"identifier": "0-08-2541",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.