IndividualActive
Lynn Beaver
NPI 1467935478 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Defuniak Springs, FL
Provider details
- NPI number
- 1467935478
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- S-2400 (FL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense S-2400 (FL)
Residential Treatment Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
164 State Highway 83
Defuniak Springs, FL 32433-7428
Phone: (850) 902-9445
Fax: (850) 373-4906
Street-level locationGet directions
Mailing address
164 State Highway 83
Defuniak Springs, FL 32433-7428
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.