NPIMap

Organization Active NPI

Mayoral Behavioral Services LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1093432486
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAYORAL BEHAVIORAL SERVICES LLC
Doing business as
PRESTIGE BEHAVIOR THERAPY
Practice address
5321 Memorial Hwy # 102
Tampa, FL 33634-7358
Phone
(786) 362-1110
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Odelys Mayoral Machado, BCBA
Title
Owner
Phone
(786) 362-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5321 Memorial Hwy # 102
Tampa, FL 33634-7358

Mailing address

5321 Memorial Hwy # 102
Tampa, FL 33634-7358
Phone (786) 362-1110

Other practice location 1

13200 SW 128th St Ste E2
Miami, FL 33186-5831
Phone (786) 362-1110

Other names 1

  • PRESTIGE BEHAVIOR THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mayoral Behavioral Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5321 Memorial Hwy
#102
Tampa, FL 33634
Phone (786) 362-1110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1093432486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 MEMORIAL HWY # 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347358",
            "telephone_number": "786-362-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MEMORIAL HWY # 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347358",
            "telephone_number": "786-362-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13200 SW 128th St Ste E2",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331865831",
            "country_code": "US",
            "telephone_number": "786-362-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYORAL BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "MAYORAL MACHADO",
        "authorized_official_first_name": "ODELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-362-1110",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGE BEHAVIOR THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.