Organization Active NPI

Advanced Behavioral Alliance Corp

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1245748177
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCED BEHAVIORAL ALLIANCE CORP
Practice address
1221 SW 27TH Ave Ste 302
Miami, FL 33135-4759
Phone
(786) 374-7374
Fax
(305) 851-0020
NPI assigned
Jan 12, 2018
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Julio C DelgadoNPI 1154262798
Title
President
Phone
(305) 702-1594

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

1221 SW 27TH Ave Ste 302
Miami, FL 33135-4759

Mailing address

1221 SW 27TH Ave Ste 302
Miami, FL 33135-4759
Phone (786) 374-7374

National Provider Directory

National Provider Directory

Locations

10700 N Kendall Dr
Ste 305
Miami, FL 33176
Phone (305) 227-8601

1221 SW 27th Ave
Ste 302
Miami, FL 33135
Phone (305) 260-9177

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": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1245748177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SW 27TH AVE STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354759",
            "telephone_number": "786-374-7374",
            "fax_number": "305-851-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW 27TH AVE STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354759",
            "telephone_number": "786-374-7374",
            "fax_number": "305-851-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL ALLIANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-702-1594"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Oct 3, 2024; 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.