NPIMap

Organization Active NPI

Behaverus Inc.

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
National Provider Identifier
1073840351
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
0215 Issued in FL
Legal business name
BEHAVERUS INC.
Practice address
9542 Brackin St
Orlando, FL 32825-6124
Phone
(407) 579-2507
NPI assigned
Nov 7, 2009
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Mildred Milagros Fernandez, FL-CBANPI 1780111997
Title
President
Phone
(407) 579-2507

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
Developmental Disabilities Clinic/Center 261QD1600X 0215 FL Primary

Addresses

Primary practice location

9542 Brackin St
Orlando, FL 32825-6124

Mailing address

9542 Brackin St
Orlando, FL 32825-6124
Phone (407) 579-2507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1073840351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 BRACKIN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256124",
            "telephone_number": "407-579-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 BRACKIN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256124",
            "telephone_number": "407-579-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVERUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-07",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-579-2507",
        "authorized_official_credential": "FL-CBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "0215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.