NPIMap

Organization Active NPI

Selfactualizeyourself Inc.

  • Behavior Analyst
  • Hallandale Beach, FL
National Provider Identifier
1235521220
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-11481 Issued in FL
Legal business name
SELFACTUALIZEYOURSELF INC.
Practice address
500 NE 12TH Ave
Apt 708
Hallandale Beach, FL 33009-3638
Phone
(754) 214-3506
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Violeta Marinov, BCBANPI 1629385489
Title
Owner
Phone
(754) 214-3506

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-12-11481 FL Primary

Addresses

Primary practice location

500 NE 12TH Ave
Apt 708
Hallandale Beach, FL 33009-3638

Mailing address

500 NE 12TH Ave
Apt 708
Hallandale Beach, FL 33009-3638
Phone (754) 214-3506

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1235521220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE 12TH AVE",
            "address_2": "APT 708",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093638",
            "telephone_number": "754-214-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE 12TH AVE",
            "address_2": "APT 708",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093638",
            "telephone_number": "754-214-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFACTUALIZEYOURSELF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MARINOV",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-214-3506",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.