Organization Active NPI

Daisy Ravelo

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1245689561
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DAISY RAVELO
Practice address
13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438
Phone
(954) 394-2835
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Daisy Ravelo, THERAPIST
Title
Therapist
Phone
(954) 394-2835

Specialties & licenses 1

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

Addresses

Primary practice location

13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438

Mailing address

13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438
Phone (954) 394-2835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1245689561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 15TH CT",
            "address_2": "APT S303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272438",
            "telephone_number": "954-394-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 15TH CT",
            "address_2": "APT S303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272438",
            "telephone_number": "954-394-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY RAVELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "RAVELO",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-394-2835",
        "authorized_official_credential": "THERAPIST"
    },
    "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 Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.