Shaping Lives Behavioral Health of Monroe, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHAPING LIVES BEHAVIORAL HEALTH OF MONROE, LLC.

Practice address

103400 Overseas Hwy Ste 208
Key Largo, FL 33037-2848

Phone

(305) 345-3751

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Carlos Ortiz

Title

President

Phone

(305) 345-3751

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1306325147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10145 OVERSEAS HIGHWAY",
            "address_2": "#224",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-345-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY STE 208",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372848",
            "telephone_number": "305-345-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING LIVES BEHAVIORAL HEALTH OF MONROE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-345-3751"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15356",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Savage III, DMD
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• Catherine Lynn Scott, OTR
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• Carlos Ignacio Smith, MD
• Deven Smith
• Michelle Lynn Smith, C.PH.T.
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• Ira D Stein, M.D.

• Behavior Analyst in Key Largo, FL
• Providers in Key Largo, 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 27, 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.