Egd Behavior Therapies LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EGD BEHAVIOR THERAPIES LLC

Practice address

2300 NW 94TH Ave Ste 202
Doral, FL 33172-2343

Phone

(305) 721-7217

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Eduardo GuzmanNPI 1053049817

Title

MGR

Phone

(786) 402-6681

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.

• Eduardo Jesus Guzman, RBT

  • Behavior Technician
  • Miami, FL
  • NPI 1053049817
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1093545691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NW 94TH AVE STE 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NW 94TH AVE STE 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722343",
            "telephone_number": "305-721-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGD BEHAVIOR THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-402-6681"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Edmond
• Edunel Health Services Inc
• Nathaniel Edwards
• Nicole Tiffany Edwards
• Zakiya Edwards
• Daniela Melanie Eguino
• Gary Walter Ehlert Birriel Jr., M.D.
• Emma Katherine Eilo, PA-C
• Stacey Eisdorfer, OT
• Eisenhower Army Medical Center

• All providers in Doral, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.