Abanzamos, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABANZAMOS, LLC.

Practice address

95 Merrick Way FL 3
Coral Gables, FL 33134-5310

Phone

(305) 778-9959

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Itzel Mendez, BCBA

Title

Ceo

Phone

(305) 778-9959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1013575174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MERRICK WAY FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345310",
            "telephone_number": "305-778-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MERRICK WAY FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345310",
            "telephone_number": "305-778-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABANZAMOS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ITZEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-778-9959",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.