Professional Behavior Analysis Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROFESSIONAL BEHAVIOR ANALYSIS THERAPY INC

Practice address

13540 SW 182ND St
Miami, FL 33177-7126

Phone

(786) 370-4198

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Madelin I Fernandez MartellNPI 1093355380

Title

Owner

Phone

(786) 370-4198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madelin I Fernandez Martell

  • Behavior Analyst
  • Homestead, FL
  • NPI 1093355380
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1093424632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 SW 182ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777126",
            "telephone_number": "786-370-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 SW 182ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777126",
            "telephone_number": "786-370-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL BEHAVIOR ANALYSIS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ MARTELL",
        "authorized_official_first_name": "MADELIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-370-4198"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariluz Teresa Proenza
• Marisel Yailen Proenza, BCBA
• Roger Proenza
• Profesional Mental Health Corp
• Professional Advanced Adult Day Care LLC
• Professional Behavior Therapy Corp
• Professional Behavioral & Mental Health Inc
• Professional Behavioral Consultants LLC
• Professional Care Associates
• Professional Care Center LLC

• 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 Nov 22, 2022; 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.