PROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE
NPI 1861069676
Behavior Analyst in Jacksonville, FL

NPI Status: Active since June 09, 2021

Contact Information

12350 SHORE ACRES DR
JACKSONVILLE, FL
ZIP 32225
Phone: (850) 325-6301
Fax: (850) 325-6302

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  • Organization
  • Behavior Analyst

About PROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE

This page provides the complete NPI Profile along with additional information for Progressive Pediatric Therapy Services Of Jacksonville, a provider established in Jacksonville, Florida operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1861069676 assigned on June 2021. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kelly Quin Prejean Ma, Ccc-slp (Clinic Director)

NPI
1861069676
Provider Name
PROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE
Entity Type
Organization
Location Address
12350 SHORE ACRES DR JACKSONVILLE, FL 32225
Location Phone
(850) 325-6301
Location Fax
(850) 325-6302
Mailing Address
1725 HERMITAGE BLVD TALLAHASSEE, FL 32308
Mailing Phone
(850) 325-6301
Mailing Fax
(850) 325-6302
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2021
Last Update Date
06-09-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY QUIN PREJEAN MA, CCC-SLP

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(850) 325-6301

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861069676, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 0 + 6 + 1 + 8 + 6 + 1 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1861069676.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Behavior Analyst
12350 SHORE ACRES DR
JACKSONVILLE, FL 32225
Behavior Analyst
12350 SHORE ACRES DR
JACKSONVILLE, FL 32225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861069676, enumerated as an "organization" on June 09, 2021.

The provider is located at 12350 SHORE ACRES DR JACKSONVILLE, FL 32225 and the phone number is (850) 325-6301.

Behavior Analyst with taxonomy code 103K00000X.