Organization Active NPI

Growthbridge Behavior Solutions, LLC

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1013696228
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
GROWTHBRIDGE BEHAVIOR SOLUTIONS, LLC
Practice address
1664 W 42ND PL
Hialeah, FL 33012-8400
Phone
(786) 616-5510
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Marlon LlanesNPI 1144906884
Title
Owner
Phone
(786) 616-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

1664 W 42ND PL
Hialeah, FL 33012-8400

Mailing address

1664 W 42ND PL
Hialeah, FL 33012-8400
Phone (786) 616-5510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1013696228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 W 42ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128400",
            "telephone_number": "786-616-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 W 42ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128400",
            "telephone_number": "786-616-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTHBRIDGE BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-616-5510"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.