Fitlife Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FITLIFE BEHAVIORAL HEALTH LLC

Doing business as

Fitlife Behavioral Health LLC

Practice address

9020 SW 137TH Ave Ste 200
Miami, FL 33186-1430

Phone

(786) 342-3333

NPI assigned

Jul 21, 2018

Organization subpart

No

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

Authorized official

Name

Natalie Marquis, BCBANPI 1578818654

Title

Program Director

Phone

(786) 872-1900

Specialties & licenses 1

Addresses

Other names 1

• Fitlife Behavioral Health LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Marquis, BCBA

  • Behavior Analyst
  • Miami, FL
  • NPI 1578818654
  Authorized official Same address or phone

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532131200000",
    "number": "1053898189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 SW 137TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861430",
            "telephone_number": "786-872-1900",
            "fax_number": "786-866-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SW 137TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861430",
            "telephone_number": "786-342-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITLIFE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2018-07-21",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "786-872-1900",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitlife Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fitlife Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Fistel, MD
• Luciano Fiszer, MD
• Fit for L.Y.F.E
• Fit Life Pediatric Consultants, LLC
• Fit Medical Supply LLC
• Fitness & Wellness Works, LLC
• Fitness & Wellness Works, LLC
• Fitness on Tap, LLC
• Fausto Henry Fito, M.D.
• Stephane Fitoussi, OD

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; 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.