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Active NPI 1376291450 Organization (Entity Type 2)

Behavior Analysis Solutions Llc

Behavior Analyst • Clearwater, FL

About Behavior Analysis Solutions Llc NPI 1376291450 Summary

Behavior Analysis Solutions Llc is a verified healthcare organization specializing in Behavior Analyst operating in Clearwater, FL. Located at 4585 140TH AVE N STE 1012, this facility provides patient care and medical services under National Provider Identifier (NPI) 1376291450.

Administrative operations and authorized compliance are overseen by Matt Potak (Owner).

The facility is associated with 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4585 140th Ave N Ste 1012

Clearwater, FL 337623806

Telephone 7275046539

Authorized Official Information

Authorized Contact Name

Matt Potak

Title / Role

Owner

Official Telephone

7275046539

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

5 Linked
Madison Mcintosh NPI 1265308118

Behavior Technician

Clearwater, FL

View Practitioner Profile →
Rachel Sampson NPI 1265393565

Behavior Technician

Clearwater, FL

View Practitioner Profile →
Kelly Bockholt NPI 1508729831

Behavior Technician

Clearwater, FL

View Practitioner Profile →
Paige Vaassen NPI 1649146010

Behavior Technician

Clearwater, FL

View Practitioner Profile →
Jordan Moten NPI 1801757737

Behavior Technician

Clearwater, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events
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Updated Practice Location May 27, 2025

Registered at 4585 140TH AVE N STE 1012, CLEARWATER, FL 337623806 (Tel: 7275046539)

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Updated Business Mailing Address May 27, 2025

Registered at 4585 140TH AVE N STE 1012, CLEARWATER, FL 337623806

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Updated Practice Location March 13, 2025

Registered at 11350 66TH ST STE 111, LARGO, FL 337735524 (Tel: 7275046539)

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Updated Business Mailing Address March 13, 2025

Registered at 11350 66TH ST STE 111, LARGO, FL 337735524

NPI Profile Active March 16, 2022

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2022

Registered at 10763 64TH CT N, PINELLAS PARK, FL 337822417 (Tel: 7275046539)

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Updated Business Mailing Address March 16, 2022

Registered at 10763 64TH CT N, PINELLAS PARK, FL 337822417

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Organization / Clinic Name Updated March 16, 2022

Operating as BEHAVIOR ANALYSIS SOLUTIONS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Behavior Analyst

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Initial NPI Registration & Enumeration March 16, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1376291450
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 16, 2022
Last Update: May 27, 2025

Mailing Address

4585 140th Ave N Ste 1012

Clearwater, FL 337623806

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.