NOVA SOUTHEASTERN UNIVERSITY NPI 1366790552

NPI Information

  • NPI: 1366790552
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Other Name: NSU SEVERE BEHAVIOR DISORDERS CLINIC
  • CLIA Number: 10D2077643
  • Address: 3526 S UNIVERSITY DR
    DAVIE, FL
    ZIP 33328
  • Phone: (954) 262-5730

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY is a behavior analyst in Davie, FL. The provider is 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. NOVA SOUTHEASTERN UNIVERSITY NPI is 1366790552. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nsu Severe Behavior Disorders Clinic.

The provider's business location address is:

3526 S UNIVERSITY DR
DAVIE, FL
ZIP 33328-002
Phone: (954) 262-5730
Fax: (954) 262-3855

The provider's authorized official is Robert S. Oller .
The authorized official title is Ceo/division Of Clinical Operations and has the following contact phone number (954) 262-4399.

The CLIA number assigned to this NPI record is 10D2077643 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/21/2012 and was last updated on 8/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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