Magical Cocoon Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGICAL COCOON BEHAVIOR THERAPY LLC

Practice address

1422 SE 26TH Ave
Homestead, FL 33035-2119

Phone

(786) 226-7902

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Victor Javier Diaz

Title

Owner

Phone

(786) 226-7902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1255030144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 SE 26TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 SE 26TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352119",
            "telephone_number": "786-226-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICAL COCOON BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-226-7902"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.