Pediatric Advancement LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PEDIATRIC ADVANCEMENT LLC

Practice address

6191 Orange Dr Ste 6181P
Davie, FL 33314-3457

Phone

(800) 484-6803

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Gabriel Casals

Title

Owner

Phone

(800) 484-6803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1205512696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 ORANGE DR STE 6181P",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143457",
            "telephone_number": "800-484-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 ORANGE DR STE 6181P",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143457",
            "telephone_number": "800-484-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADVANCEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "CASALS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-484-6803"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brian Peace
• Katie Jane Peace
• David A Pearl, RPH
• Mishique Pearson, MSW
• Kiara Peart-Davis
• Pediatric Behavior Therapies, LLC
• Alicia Beatriz Pedrera, O.D
• Camila Caridad Pedrouzo
• Wendolys Peguero
• Catherine C Peirce, OT

• Behavior Analyst in Davie, FL
• Providers in Davie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.