Wallmart Properties LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WALLMART PROPERTIES LLC

Practice address

2905 NW 130TH Ave Apt 208
Sunrise, FL 33323-3047

Phone

(786) 356-2639

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Richard A PenaNPI 1417665019

Title

Manager

Phone

(786) 356-2639

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Pena

  • Assistant Behavior Analyst
  • Sunrise, FL
  • NPI 1417665019
  NPD Authorized official

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1033824446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NW 130TH AVE APT 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233047",
            "telephone_number": "786-356-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 NW 130TH AVE APT 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233047",
            "telephone_number": "786-356-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLMART PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-356-2639"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Walker, PA-C
• Sharon Walker, M.A.
• Edward Joseph Walkowiak, RRT
• Katherine Wall
• Jeffrey P. Wallace, MD
• Nicole Walters, APRN
• Wander Nursing LLC
• Ann Marie Wanliss, MS ITDS, BCBA
• Gabriela Warren, PTA
• Patrick N. Warren, CRNA

• Behavior Analyst in Sunrise, FL
• Providers in Sunrise, 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 19, 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.