Acsi Community Behavioral Center, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MH8867 Issued in FL

Legal business name

ACSI COMMUNITY BEHAVIORAL CENTER, LLC.

Practice address

3113 Stirling Rd Ste 204
Fort Lauderdale, FL 33312-6547

Phone

(954) 842-3501

Fax

(954) 206-0906

NPI assigned

Jan 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Yanet Rodriguez Jimenez, RPT, HHA

Title

Ceo

Phone

(954) 842-3501

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Acsi Community Behavioral Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acsi Community Behavioral Center, LLC.

  • Case Management Agency
  • Fort Lauderdale, FL
  • NPI 1609383595
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1013424266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-842-3501",
            "fax_number": "954-206-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-842-3501",
            "fax_number": "954-206-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSI COMMUNITY BEHAVIORAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ JIMENEZ",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-842-3501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT, HHA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021204200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linsey Nicole Acosta
• Marcos Daniel Acosta, RDH
• Melixsa Acosta, M.S., CCC-SLP
• Valerie Acosta, RN-BSN
• Zonia D Acosta
• Acsi Community Behavioral Center, LLC.
• Actief Community Services LLC
• Actify Home Care, Inc
• Action Physical Therapy, LLC
• Action Physical Therapy, LLC

• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.