=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477717346
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAUL NAPIER BEHAVIORAL CONSULTATION SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2008
-----------------------------------------------------
Last Update Date | 02/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10175 FORTUNE PKWY UNIT 903
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32256-6755
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-538-0713
-----------------------------------------------------
Fax | 904-538-0714
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10175 FORTUNE PKWY UNIT 903
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32256-6755
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-538-0713
-----------------------------------------------------
Fax | 904-538-0714
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. PAUL EUGENE NAPIER
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 904-683-9515
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 1-03-1383
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------