JAEDA BEVERLY
NPI 1558940734
Behavior Analyst in University Park, FL

Q: What is Jaeda Beverly's NPI number?

The NPI number for Jaeda Beverly is 1558940734. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Jaeda Beverly's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaeda Beverly was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 06, 2021

8027 COOPER CREEK BLVD STE 103, UNIVERSITY PARK, FL 34201(941) 477-2080 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Apr 6, 2021 (2 updates tracked since 2021).

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About Jaeda Beverly NPPES

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

JAEDA BEVERLY (NPI 1558940734) is an individual behavior analyst provider in University Park, Florida, licensed in Florida (1-24-73785) and active in the NPI registry since April 2021. She maintains a secondary practice location in North Port.

NPPES Registry Identity

NPI1558940734

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJAEDA BEVERLY

Location Address8027 COOPER CREEK BLVD STE 103University Park, FL 34201-3002

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(941) 477-2080

Sole ProprietorNo

Enumeration DateApril 6, 2021

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1558940734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-24-73785

Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-161123 (FL)

8027 COOPER CREEK BLVD STE 103, University Park, FL 34201

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Secondary Practice Location 1

Location 12574 Commerce PkwyNorth Port, FL 34289-9334 · Phone (800) 356-4049 · Fax (941) 485-0519

Other Providers at the Same Location NPPES 20

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

EVAN COX

Behavior Technician