Organization Active NPI

O&K Mindfulness Behavior Therapy LLC

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1245827039
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
O&K MINDFULNESS BEHAVIOR THERAPY LLC
Practice address
134 SW 11TH Ter
Cape Coral, FL 33991-2553
Phone
(786) 488-1830
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Omar Mesa, BCBA
Title
Owner
Phone
(786) 488-1830

Specialties & licenses 1

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

Addresses

Primary practice location

134 SW 11TH Ter
Cape Coral, FL 33991-2553

Mailing address

134 SW 11TH Ter
Cape Coral, FL 33991-2553
Phone (786) 488-1830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1245827039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SW 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912553",
            "telephone_number": "786-488-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SW 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912553",
            "telephone_number": "786-488-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&K MINDFULNESS BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-488-1830",
        "authorized_official_credential": "BCBA"
    },
    "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 Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.