OrganizationActive
Ponte Vedra Behavioral Health LLC
NPI 1760335186 · Behavior Analyst · Ponte Vedra, FL
Provider details
- NPI number
- 1760335186
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Busayo Stelben, Managing Member/Clinical Director(571) 398-1908
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
90 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081-5114
Phone: (571) 398-1908
Fax: (386) 800-3358
Street-level locationGet directions
Mailing address
252 Caiden Dr
Ponte Vedra, FL 32081-1101
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.