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Active NPI 1578867941 Organization (Entity Type 2)

Behavior Analysis Solutions

Community/Behavioral Health • Palm Harbor, FL

About Behavior Analysis Solutions NPI 1578867941 Summary

Behavior Analysis Solutions is a verified healthcare organization specializing in Community/Behavioral Health operating in Palm Harbor, FL. Located at 692 GREENGLEN LN, this facility provides patient care and medical services under National Provider Identifier (NPI) 1578867941.

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

Facility Location & Contact Primary Location

Facility Address

692 Greenglen Ln

Palm Harbor, FL 346843024

Telephone 7275046539
Fax 7273229839

Authorized Official Information

Authorized Contact Name

MR. Matt Potak , MS, BCBA

Title / Role

President

Official Telephone

7275046539

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active December 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2010

Registered at 692 GREENGLEN LN, PALM HARBOR, FL 346843024 (Tel: 7275046539)

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Updated Business Mailing Address December 29, 2010

Registered at 692 GREENGLEN LN, PALM HARBOR, FL 346843024 (Tel: 7275046539)

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Organization / Clinic Name Updated December 29, 2010

Operating as BEHAVIOR ANALYSIS SOLUTIONS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2010

Community/Behavioral Health

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Initial NPI Registration & Enumeration December 29, 2010

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1578867941
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 29, 2010
Last Update: December 29, 2010

Mailing Address

692 Greenglen Ln

Palm Harbor, FL 346843024

Phone: 7275046539

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.