Organization Active NPI

Baylight Behavioral Health LLC

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1023980695
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BAYLIGHT BEHAVIORAL HEALTH LLC
Practice address
11612 SW 13TH LN
Pembroke Pines, FL 33025-4824
Phone
(561) 558-4605
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Cesar Fundora, BCBANPI 1407519424
Title
Ceo
Phone
(561) 558-4605

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11612 SW 13TH LN
Pembroke Pines, FL 33025-4824

Mailing address

11612 SW 13TH LN
Pembroke Pines, FL 33025-4824
Phone (561) 558-4605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1023980695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11612 SW 13TH LN",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254824",
            "telephone_number": "561-558-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 SW 13TH LN",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254824",
            "telephone_number": "561-558-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLIGHT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-558-4605",
        "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": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.