Healthcare Provider Details

I. General information

NPI: 1659008886
Provider Name (Legal Business Name): INSPIRE BEHAVIOR ANALYSIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 MAIN ST STE 100
SAFETY HARBOR FL
34695-3502
US

IV. Provider business mailing address

3672 FAIRWAY FOREST CIR
PALM HARBOR FL
34685-1001
US

V. Phone/Fax

Practice location:
  • Phone: 727-213-8851
  • Fax: 727-213-8851
Mailing address:
  • Phone: 727-798-1253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JORDAN HAUSMAN
Title or Position: MEMBER
Credential:
Phone: 727-798-1253