NPIMap

Organization Active NPI

Kendall Behavior Therapy

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1245688399
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT 1614407 Issued in FL
Legal business name
KENDALL BEHAVIOR THERAPY
Practice address
12150 SW 128TH CT
Suite 222
Miami, FL 33186-4647
Phone
(786) 701-8164
Fax
(786) 701-3975
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Mr. Hector P Gonzalez, BCABANPI 1588804702
Title
Ceo
Phone
(786) 701-8164

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 RBT 1614407 FL Primary

Addresses

Primary practice location

12150 SW 128TH CT
Suite 222
Miami, FL 33186-4647

Mailing address

12150 SW 128TH CT
Suite 222
Miami, FL 33186-4647
Phone (786) 701-8164

National Provider Directory

National Provider Directory

Locations

12150 SW 128th Ct
Ste 222
Miami, FL 33186
Phone (786) 701-8164

Practitioners & affiliated clinicians

Practitioners 7

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": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1245688399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "address_2": "SUITE 222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-701-8164",
            "fax_number": "786-701-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "address_2": "SUITE 222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-701-8164",
            "fax_number": "786-701-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-701-8164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT 1614407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.