C.D.a. Serviceability Trust Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

C.D.A. SERVICEABILITY TRUST INC.

Practice address

11025 SW 84TH St Ste 9
Miami, FL 33173-3856

Phone

(305) 971-1230

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissa TorresNPI 1811310410

Title

Ceo

Phone

(786) 395-4900

Specialties & licenses 3

Addresses

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.

• Lissa Torres

  • Case Manager/Care Coordinator
  • Miami, FL
  • NPI 1811310410

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1093555757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9290 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732310",
            "telephone_number": "786-395-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 84TH ST STE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733856",
            "telephone_number": "305-971-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3837 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052138",
            "country_code": "US",
            "telephone_number": "305-971-1230 x101",
            "fax_number": "833-971-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C.D.A. SERVICEABILITY TRUST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-395-4900"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 30, 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.