Pediatric Analytics & Systematic Supports Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PEDIATRIC ANALYTICS & SYSTEMATIC SUPPORTS INC

Practice address

7065 Westpointe Blvd Ste 307
Orlando, FL 32835-8758

Phone

(407) 205-7735

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Rehan Mairajuddin, BCBANPI 1063031128

Title

Ceo - Clinical Director

Phone

(407) 205-7735

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Rehan Mairajuddin, BCBA

  • Behavior Analyst
  • Orlando, FL
  • NPI 1063031128
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1194309708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770806",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328770806",
            "telephone_number": "407-205-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 WESTPOINTE BLVD STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358758",
            "telephone_number": "407-205-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ANALYTICS & SYSTEMATIC SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "MAIRAJUDDIN",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "CEO - CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-205-7735",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Friedrich Pechacek, CRNA
• Fallon Peck
• Gloria J Peck, RPH
• Justin G Peck, PT
• Pediatric ABA 7 Inc
• Pediatric and Family Dental Group LLC
• Pediatric Associates of Orlando, PA
• Pediatric Cardiology Consultants
• Pediatric Care Group, PA
• Pediatric Counseling Network

• 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 May 10, 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.