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Active NPI 1720533268 Organization (Entity Type 2)

Canopy Behavior Solutions, Llc

Behavior Analyst • Freeport, FL

About Canopy Behavior Solutions, Llc NPI 1720533268 Summary

Canopy Behavior Solutions, Llc is a verified healthcare organization specializing in Behavior Analyst operating in Freeport, FL. Located at 539 FANNY ANN WAY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1720533268.

Administrative operations and authorized compliance are overseen by Megan Dailey (Bcba).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

539 Fanny Ann Way

Freeport, FL 324397613

Telephone 8508657109

Authorized Official Information

Authorized Contact Name

Megan Dailey , M.S.

Title / Role

Bcba

Official Telephone

8508657109

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

1 Linked

Georgia Fisanick NPI 1548126121

Behavior Technician

Freeport, FL

View Practitioner Profile →

Facility & Registry History Timeline

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

6 Historical Events

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NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2016

Registered at 539 FANNY ANN WAY, FREEPORT, FL 324397613 (Tel: 8508657109)

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Updated Business Mailing Address August 24, 2016

Registered at 539 FANNY ANN WAY, FREEPORT, FL 324397613

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Organization / Clinic Name Updated August 24, 2016

Operating as CANOPY BEHAVIOR SOLUTIONS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Behavior Analyst (License #1-08-4312 in FL)

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Initial NPI Registration & Enumeration August 24, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1720533268

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 24, 2016

Last Update: August 24, 2016

Update or Correct Listing

Mailing Address

539 Fanny Ann Way

Freeport, FL 324397613

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.