FIESTA HEALTH LLC
NPI 1831827724
Behavior Analyst in Savannah, GA

Q: What is Fiesta Health LLC's NPI number?

The NPI number for Fiesta Health LLC is 1831827724. It was assigned to this organization in the NPPES registry on August 10, 2022.

Q: What is Fiesta Health LLC'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 Fiesta Health LLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 August 10, 2022

800 E 70TH ST, SAVANNAH, GA 31405(912) 214-3314(912) 722-4061 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Oct 24, 2022, Aug 10, 2022 (3 updates tracked since 2022).

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About Fiesta Health Llc NPPES

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

FIESTA HEALTH LLC (NPI 1831827724) is a healthcare organization registered as a behavior analyst in Savannah, Georgia and active in the NPI registry since August 2022. The organization lists Jordan P Boudreau, Owner/chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1831827724

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameFIESTA HEALTH LLC

Location Address800 E 70TH STSavannah, GA 31405-4813

Mailing Address634 Holgate AveDefiance, OH 43512-2038 · (912) 491-2491 · Fax (470) 329-0008

Phone(912) 214-3314

Fax(912) 722-4061

Organization SubpartNo

Authorized OfficialJordan P BoudreauOwner/chief Clinical Officer · (231) 497-0555

Enumeration DateAugust 10, 2022

Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1831827724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

800 E 70TH ST, Savannah, GA 31405

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MRS. JULIE DOAR THOMAS PA-C

Physician Assistant