Organization Active NPI

Soar Centers for Behavioral Care LLC

  • Behavior Analyst
  • Clermont, FL
National Provider Identifier
1073277927
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SOAR CENTERS FOR BEHAVIORAL CARE LLC
Practice address
2113 Ruby Red Blvd Ste a
Clermont, FL 34714-6115
Phone
(407) 427-6850
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Rebeca Carrasquillo
Title
Owner
Phone
(407) 427-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2113 Ruby Red Blvd Ste a
Clermont, FL 34714-6115

Mailing address

16103 Blossom Hill Loop
Clermont, FL 34714-4911

National Provider Directory

National Provider Directory

Locations

2113 Ruby Red Blvd
Ste A
Clermont, FL 34714
Phone (352) 243-7411

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1073277927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 BLOSSOM HILL LOOP",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "407-427-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR CENTERS FOR BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-427-6850"
    },
    "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 Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.