T E a Miami, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25353 Issued in FL

Legal business name

T E A MIAMI, INC

Practice address

8233 Harding Ave Apt 302
Miami Beach, FL 33141-5214

Phone

(786) 296-7024

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Rayselis AlfonsopenateNPI 1548793037

Title

V-President

Phone

(786) 554-1676

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.

• Rayselis Alfonso Penate

  • Behavior Analyst
  • Miami, FL
  • NPI 1548793037
  NPD Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1134622335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 HARDING AVE APT 302",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415214",
            "telephone_number": "786-296-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 HARDING AVE APT 302",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415214",
            "telephone_number": "786-296-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T E A MIAMI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "ALFONSOPENATE",
        "authorized_official_first_name": "RAYSELIS",
        "authorized_official_title_or_position": "V-PRESIDENT",
        "authorized_official_telephone_number": "786-554-1676"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-25353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.