Organization Active NPI

Future Smiles Child Center LLC

  • Behavior Analyst
  • Sweetwater, FL
National Provider Identifier
1194240184
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FUTURE SMILES CHILD CENTER LLC
Practice address
1414 NW 107TH Ave Suite 204
Sweetwater, FL 33172
Phone
(305) 225-8711
Fax
(305) 225-8707
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Manuel Salvador Buelga Garcia
Title
Bcba/Owner
Phone
(786) 712-5027

Specialties & licenses 1

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

Addresses

Primary practice location

1414 NW 107TH Ave Suite 204
Sweetwater, FL 33172

Mailing address

1414 NW 107TH Ave Suite 204
Sweetwater, FL 33172
Phone (305) 225-8711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1194240184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE SUITE 204",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "305-225-8711",
            "fax_number": "305-225-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE SUITE 204",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "305-225-8711",
            "fax_number": "305-225-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE SMILES CHILD CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "BUELGA GARCIA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "786-712-5027"
    },
    "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 Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.