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BEHAVIOR COACH, PLLC
NPI 1316507536
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

Active since June 19, 2019
3825 HENDERSON BLVD STE 401, TAMPA, FL 33629(727) 389-1667 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Behavior Coach, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIOR COACH, PLLC (NPI 1316507536) is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since June 2019. The organization lists Jacqueline Neysa Buckle, Owner, as its authorized official.

NPPES Registry Identity

NPI1316507536
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBEHAVIOR COACH, PLLC
Location Address3825 HENDERSON BLVD STE 401Tampa, FL 33629-5022
Mailing Address12100 Infinity DrNew Port Richey, FL 34654-2040
Phone(727) 389-1667
Organization SubpartYes
Authorized OfficialJacqueline Neysa BuckleOwner · (727) 389-1667
Enumeration DateJune 19, 2019
✔ NPI 1316507536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3825 HENDERSON BLVD STE 401, Tampa, FL 33629
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Other Names 1

Doing Business AsBehavior Coach, Pllc

Other Identifiers 1

Medicaid1487635520FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JACQUELINE NEYSA BUCKLE M.S.
Counselor (Mental Health)
3825 HENDERSON BLVD STE 401
TAMPA, FL 33629
Hillsborough County (727) 389-1667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavior Coach, PLLC's NPI number?

The NPI number for Behavior Coach, PLLC is 1316507536. It was assigned to this organization in the NPPES registry on June 19, 2019.

Where is Behavior Coach, PLLC located?

Behavior Coach, PLLC is located at 3825 Henderson Blvd Ste 401, Tampa, FL 33629. The listed phone number is (727) 389-1667.

What is Behavior Coach, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Behavior Coach, PLLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.