Active NPI
My Behavioral Therapy Inc
- Behavior Analyst
- Doral, FL
National Provider Identifier
1073391868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MY BEHAVIORAL THERAPY INC
- Practice address
- 3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215 - Phone
- (786) 412-1325
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey Gonzalez
- Title
- Ceo
- Phone
- (786) 412-1325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Mailing address
11435 SW 52ND St
Miami, FL 33165-6801
Phone (786) 412-1325
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695859200000",
"number": "1073391868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11435 SW 52ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331656801",
"telephone_number": "786-412-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 NW 107TH AVE STE 400",
"city": "DORAL",
"state": "FL",
"postal_code": "331722215",
"telephone_number": "786-412-1325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BEHAVIORAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "HARVEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-412-1325"
},
"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 Sep 28, 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.