Organization Active NPI

Kiwi Behavioral Therapy, LLC

  • Behavior Analyst
  • Hallandale Beach, FL
National Provider Identifier
1033837844
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIWI BEHAVIORAL THERAPY, LLC
Practice address
403 NE 2ND Ave
Hallandale Beach, FL 33009-4215
Phone
(954) 256-0357
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Ms. Charlene Marie Fries, M.S., ED.S, BCBANPI 1265009278
Title
Owner
Phone
(954) 662-9796

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

403 NE 2ND Ave
Hallandale Beach, FL 33009-4215

Mailing address

403 NE 2ND Ave
Hallandale Beach, FL 33009-4215
Phone (954) 256-0357

National Provider Directory

National Provider Directory

Locations

107 NE 3rd St
Hallandale Beach, FL 33009
Phone (754) 294-4357

403 NE 2nd Ave
Hallandale Beach, FL 33009
Phone (786) 547-3522

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1033837844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NE 2ND AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094215",
            "telephone_number": "954-256-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NE 2ND AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094215",
            "telephone_number": "954-256-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWI BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-662-9796",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., ED.S, 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 Hallandale Beach, FL

Sources for this page

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