NPIMap

Organization Active NPI

I Rock Behavior LLC

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1225544604
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
I ROCK BEHAVIOR LLC
Practice address
18480 NW 19TH St
Pembroke Pines, FL 33029-3823
Phone
(786) 376-5812
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mrs. Malena S Martinez, MS, BCBA
Title
President
Phone
(786) 376-5812

Specialties & licenses 1

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

Addresses

Primary practice location

18480 NW 19TH St
Pembroke Pines, FL 33029-3823

Mailing address

18480 NW 19TH St
Pembroke Pines, FL 33029-3823
Phone (786) 376-5812

Other identifiers 1

IdentifierTypeStateIssuer
662050MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1225544604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18480 NW 19TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293823",
            "telephone_number": "786-376-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18480 NW 19TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293823",
            "telephone_number": "786-376-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I ROCK BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MALENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-376-5812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "662050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.