NPIMap

Organization Active NPI

United Wellness Center LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1174299622
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UNITED WELLNESS CENTER LLC
Practice address
6250 Hazeltine National Dr Ste 102
Orlando, FL 32822-5102
Phone
(407) 237-9955
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Lourdes Bastardo
Title
MBR
Phone
(178) 621-2684

Specialties & licenses 1

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

Addresses

Primary practice location

6250 Hazeltine National Dr Ste 102
Orlando, FL 32822-5102

Mailing address

6250 Hazeltine National Dr Ste 102
Orlando, FL 32822-5102
Phone (407) 237-9955

National Provider Directory

National Provider Directory
Tax ID family
United Wellness Center LLC2 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.

Locations

6250 Hazeltine National Dr
Ste 102
Orlando, FL 32822
Phone (407) 237-9955

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1174299622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 HAZELTINE NATIONAL DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225102",
            "telephone_number": "407-237-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 HAZELTINE NATIONAL DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225102",
            "telephone_number": "407-237-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "BASTARDO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "178-621-2684"
    },
    "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 Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.