NPIMap

Organization Active NPI

Avanti Behavioral Change

  • Early Intervention Provider Agency
  • Miami, FL
National Provider Identifier
1265708192
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AVANTI BEHAVIORAL CHANGE
Practice address
9595 Fontainebleau Blvd
Apt 2002
Miami, FL 33172-6883
Phone
(305) 607-4116
Fax
(305) 503-7088
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Nirvana Mattey, MS, CPC, ITDS
Title
President
Phone
(305) 607-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

9595 Fontainebleau Blvd
Apt 2002
Miami, FL 33172-6883

Mailing address

9595 Fontainebleau Blvd
Apt 2002
Miami, FL 33172-6883
Phone (305) 607-4116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1265708192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 FONTAINEBLEAU BLVD",
            "address_2": "APT 2002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726883",
            "telephone_number": "305-607-4116",
            "fax_number": "305-503-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 FONTAINEBLEAU BLVD",
            "address_2": "APT 2002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726883",
            "telephone_number": "305-607-4116",
            "fax_number": "305-503-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI BEHAVIORAL CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MATTEY",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-607-4116",
        "authorized_official_credential": "MS, CPC, ITDS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "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 Mar 26, 2012; 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.