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Justin Boyan Han , BCBA

Behavior Analyst β€’ Gainesville, FL

Active NPI 1740968387 Individual Practitioner Male Practitioner
Practice location in NPPES

4101 Nw 89th Blvd
Gainesville, FL 326063813

Call 4079157729 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4101 Nw 89th Blvd

Gainesville, FL 326063813

Telephone 4079157729
Fax 4075886294
Organization at the Same NPPES Address or Phone
Second Sight Rehab Pa Facility NPI 1063420172

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gainesville and Florida

138 active clinicians are listed under Behavior Analyst with a practice address in Gainesville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0% of these 138 clinicians have the CMS telehealth indicator.

0.7% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-20-44900

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Trevin Baird , DO

Student in an Organized Health Care Education/Training Program

NPI 1942946785

Doctor of Osteopathic Medicine (D.O.)

Dr. Minju Hwang , DO

Psychiatry & Neurology - Psychiatry

NPI 1548829484

Doctor of Osteopathic Medicine (D.O.)

Dr. Rubab Islam , MD

Psychiatry & Neurology - Psychiatry

NPI 1184207714

Doctor of Medicine (M.D.)

NPI 1275737488

Doctor of Philosophy (Ph.D.)

Dr. Brittany Milo , DO

Student in an Organized Health Care Education/Training Program

NPI 1497497804

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address July 17, 2023

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 4079157729)

βœ…
NPI Profile Active July 05, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 05, 2023

Registered at 4101 NW 89TH BLVD, GAINESVILLE, FL 326063813 (Tel: 3522698586)

πŸ“
Business Mailing Address (Initial Record) July 05, 2023

Registered at 1505 FORT CLARKE BLVD, 09-304, GAINESVILLE, FL 32606

πŸ‘€
Provider Name / Credentials (Initial Record) July 05, 2023

Recorded as JUSTIN HAN, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Behavior Analyst (license number reported to NPPES: FL 1-20-44900)

🟒
Initial NPI Registration & Enumeration July 05, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740968387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2023
Last Update: July 17, 2023
Sole Proprietor: Yes

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 4079157729

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.