Organization Active NPI

Interbehav Corp

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1033828140
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INTERBEHAV CORP
Practice address
3105 NW 107TH Ave Ste 433
Doral, FL 33172-2185
Phone
(786) 715-8511
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Odalys FonsecaNPI 1528533528
Title
President
Phone
(786) 715-8511

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

3105 NW 107TH Ave Ste 433
Doral, FL 33172-2185

Mailing address

3105 NW 107TH Ave Ste 433
Doral, FL 33172-2185
Phone (786) 715-8511

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": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1033828140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 433",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722185",
            "telephone_number": "786-715-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 433",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722185",
            "telephone_number": "786-715-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBEHAV CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-715-8511"
    },
    "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 Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.