Organization Active NPI

My Behavioral Therapy Inc

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1073391868
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.