Living Hope Group Home

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-15-01059 Issued in FL

Legal business name

LIVING HOPE GROUP HOME

Practice address

4634 SW 164TH CT
Miami, FL 33185

Phone

(786) 474-7545

Fax

(786) 362-6128

NPI assigned

May 24, 2016

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BEHAVIORAL SERVICES CORPAs reported in NPPES

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

Authorized official

Name

Mr. Juan M Arencibia

Title

Registered Behavioral Technician

Phone

(786) 474-7545

Specialties & licenses 1

Addresses

Part of

Living Hope Group Home

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1295183879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855198",
            "telephone_number": "786-474-7545",
            "fax_number": "786-362-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-474-7545",
            "fax_number": "786-362-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12704 NW 102nd Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330186016",
            "country_code": "US",
            "telephone_number": "305-409-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4634 SW 164th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33185",
            "country_code": "US",
            "telephone_number": "786-474-7545",
            "fax_number": "786-362-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING HOPE GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL SERVICES CORP",
        "enumeration_date": "2016-05-24",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "ARENCIBIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED BEHAVIORAL TECHNICIAN",
        "authorized_official_telephone_number": "786-474-7545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-15-01059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan S. Livingstone, MD
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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.