Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386343648 Individual Practitioner Female Practitioner

Beverly Fendley

Behavior Analyst • Bonifay, FL

Professional Overview & Biography Verified Profile Summary

Beverly Fendley is a registered healthcare professional specializing in Behavior Analyst in Bonifay, FL. Practice services are available at 211 W IOWA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

211 W Iowa Ave

Bonifay, FL 324252103

Telephone 8503399045
Fax 8885451603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bonifay, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Bonifay, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-26-90304

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117692500 (FL)
Commercial Insurance / Payer ID Bcba Certification
1-26-90304 (FL)

Secondary Practice Locations

355 E Nelson Ave

Defuniak Springs, FL 324337426

Phone: 8054195061

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Hannah Moran

Behavior Technician

NPI 1043974355
Lily Lamarre

Behavior Technician

NPI 1497510903
Nicole Morgan

Behavior Analyst

NPI 1578385514
Casey Davis

Behavior Technician

NPI 1740926195
Madison Webster

Behavior Technician

NPI 1790668903
Lauran Hebert

Behavior Technician

NPI 1821810862

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 03, 2026

Recorded as BEVERLY FENDLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2026

Behavior Analyst (License #1-26-90304 in FL)

NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2023

Registered at 211 W IOWA AVE, BONIFAY, FL 324252103 (Tel: 8503399045)

📍
Updated Business Mailing Address February 27, 2023

Registered at 539 FANNY ANN WAY, FREEPORT, FL 324397613 (Tel: 8503399045)

👤
Provider Name / Credentials Updated February 27, 2023

Recorded as BEVERLY EARNEST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2023

Behavior Technician (License #RBT-22-249399 in FL)

🟢
Initial NPI Registration & Enumeration February 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386343648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2023
Last Update: June 03, 2026
Sole Proprietor: Yes

Mailing Address

539 Fanny Ann Way

Freeport, FL 324397613

Phone: 8503399045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.