Organization Active NPI

Mita ABA LLC

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1235045857
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MITA ABA LLC
Practice address
1720 Harrison St Ste 5a
Hollywood, FL 33020-6839
Phone
(786) 540-0458
Fax
(754) 551-2627
NPI assigned
Aug 22, 2026
Last updated
Aug 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Authorized official

Name
Tatiana Mikhaylova, MSNPI 1891259172
Title
Clinical Director
Phone
(786) 540-0458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1720 Harrison St Ste 5a
Hollywood, FL 33020-6839

Mailing address

3530 Mystic Pointe Dr Apt 608
Aventura, FL 33180-4526
Phone (786) 540-0458

National Provider Directory

National Provider Directory

Locations

1720 Harrison St
Ste 5A
Hollywood, FL 33020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1235045857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 MYSTIC POINTE DR APT 608",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804526",
            "telephone_number": "786-540-0458",
            "fax_number": "754-551-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HARRISON ST STE 5A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206839",
            "telephone_number": "786-540-0458",
            "fax_number": "754-551-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITA ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKHAYLOVA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-540-0458",
        "authorized_official_credential": "MS"
    },
    "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 Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.