Homestead Behavioral Clinic, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HOMESTEAD BEHAVIORAL CLINIC, INC.

Doing business as

Homestead Behavioral Clinic

Practice address

413 Ferguson Dr
Orlando, FL 32805-1009

Phone

(305) 248-3488

Fax

(305) 248-6558

NPI assigned

Mar 22, 2025

Organization subpart

No

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

Authorized official

Name

Aidelyn Lopez

Title

Ceo

Phone

(305) 248-3488

Specialties & licenses 1

Addresses

Other names 1

• Homestead Behavioral Clinic Doing business as

Tax ID family

Homestead Behavioral Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Homestead Behavioral Clinic, Inc.

  • General Practice Physician
  • Homestead, FL
  • NPI 1881264091
  NPD tax ID

Locations

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1164223335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 FERGUSON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051009",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD BEHAVIORAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AIDELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-248-3488"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Behavioral Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Physicians Group LLC
• Home Physicians Group P.a.
• David Home, LCSW
• Homecare Medical Equipment & Services
• Homeguardians Services, LLC
• Clarice Honeywell, SS
• Andrea Hong, MD
• Daniel Hong, BSN, RN
• Hannah Hong, DO, MPH
• Yuzhu Hong, AP

• Behavior Analyst in Orlando, FL
• Providers in Orlando, 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 22, 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.