NPIMap

Organization Active NPI

Innovative Kids Treatment, LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1114437431
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNOVATIVE KIDS TREATMENT, LLC
Practice address
9370 SW 72ND St Ste A212
Miami, FL 33173-5453
Phone
(786) 817-8177
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Cindy M HernandezNPI 1306356621
Title
President
Phone
(786) 817-8177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9370 SW 72ND St Ste A212
Miami, FL 33173-5453

Mailing address

9370 SW 72ND St Ste A212
Miami, FL 33173-5453
Phone (786) 817-8177

National Provider Directory

National Provider Directory

Locations

9370 SW 72nd St
Ste 212A
Miami, FL 33173
Phone (786) 401-6722

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1114437431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735453",
            "telephone_number": "786-817-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735453",
            "telephone_number": "786-817-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE KIDS TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-817-8177"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.