Active NPI
Alterare Advantage LLC
- Community/Behavioral Health Agency
- Maitland, FL
National Provider Identifier
1114414463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALTERARE ADVANTAGE LLC
- Practice address
- 151 N. Maitland Avenue
948514
Maitland, FL 32751-3275 - Phone
- (407) 780-0177
- NPI assigned
- Apr 21, 2018
- Last updated
- May 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jazzmyn Alyssia-Marie Iglesia, MS BCBA
- Title
- Ceo
- Phone
- (407) 780-0177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | FL | Primary |
Addresses
Primary practice location
151 N. Maitland Avenue
948514
Maitland, FL 32751-3275
Mailing address
2911 Stone Glen Way Apt 107
Winter Park, FL 32792-1784
Phone (407) 780-0177
Other practice location 1
2366 Nautical Way Apt 208
Winter Park, FL 32792-1234
Phone (140) 778-0017
National Provider Directory
National Provider DirectoryLocations
478 E Altamonte Dr
Ste 108227
Altamonte Springs, FL 32701
151 N Maitland Ave
#948514
Maitland, FL 32751
Phone (407) 780-0177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620432000000",
"number": "1114414463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 STONE GLEN WAY APT 107",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921784",
"telephone_number": "407-780-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N. MAITLAND AVENUE",
"address_2": "948514",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327513275",
"telephone_number": "407-780-0177"
}
],
"practiceLocations": [
{
"address_1": "2366 Nautical Way Apt 208",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327921234",
"country_code": "US",
"telephone_number": "140-778-0017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALTERARE ADVANTAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-21",
"last_updated": "2021-05-08",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "IGLESIA",
"authorized_official_first_name": "JAZZMYN",
"authorized_official_middle_name": "ALYSSIA-MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-780-0177",
"authorized_official_credential": "MS BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.