Organization Active NPI

Fullness of Life Kid'S LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1225720378
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FULLNESS OF LIFE KID'S LLC
Practice address
6100 Lake Ellenor Dr Ste 206
Orlando, FL 32809-4632
Phone
(305) 240-1835
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Ana Silva
Title
Ceo
Phone
(305) 240-1835

Specialties & licenses 1

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

Addresses

Primary practice location

6100 Lake Ellenor Dr Ste 206
Orlando, FL 32809-4632

Mailing address

6100 Lake Ellenor Dr Ste 206
Orlando, FL 32809-4632

National Provider Directory

National Provider Directory

Locations

6100 Lk Ellenor Dr
Ste 206
Orlando, FL 32809
Phone (305) 240-1835

Practitioners & affiliated clinicians

Practitioners 1

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1225720378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DR STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DR STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632",
            "telephone_number": "305-240-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLNESS OF LIFE KID'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-240-1835"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.