Mederos Behavioral Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MEDEROS BEHAVIORAL THERAPY LLC

Practice address

10050 SW 214TH St
Cutler Bay, FL 33189-3032

Phone

(786) 487-8655

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Tania Quintana

Title

Ceo

Phone

(786) 487-8655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1205545571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 SW 214TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893032",
            "telephone_number": "786-487-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 SW 214TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893032",
            "telephone_number": "786-487-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEROS BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-487-8655"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Behavior Analyst in Florida

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