Organization Active NPI

Sunrise ABA Behavior Therapy Corp

  • Behavior Analyst
  • Wilton Manors, FL
National Provider Identifier
1124983499
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNRISE ABA BEHAVIOR THERAPY CORP
Practice address
800 W Oakland Park Blvd Ste 211
Wilton Manors, FL 33311-1733
Phone
(954) 330-3384
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Reinaldo D Diaz Hernandez
Title
President
Phone
(954) 330-3384

Specialties & licenses 1

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

Addresses

Primary practice location

800 W Oakland Park Blvd Ste 211
Wilton Manors, FL 33311-1733

Mailing address

800 W Oakland Park Blvd Ste 211
Wilton Manors, FL 33311-1733
Phone (954) 330-3384

National Provider Directory

National Provider Directory

Locations

800 W Oakland Park Blvd
Ste 211
Wilton Manors, FL 33311
Phone (954) 330-3384

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1124983499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W OAKLAND PARK BLVD STE 211",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111733",
            "telephone_number": "954-330-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W OAKLAND PARK BLVD STE 211",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111733",
            "telephone_number": "954-330-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ABA BEHAVIOR THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ HERNANDEZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-330-3384"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.