Organization Active NPI

Good Life ABA Therapy LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1306520093
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOOD LIFE ABA THERAPY LLC
Practice address
2933 W Cypress Creek Rd Ste 201B
Fort Lauderdale, FL 33309-1760
Phone
(786) 348-9834
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Bernardo Iglesias
Title
President
Phone
(786) 348-9834

Specialties & licenses 1

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

Addresses

Primary practice location

2933 W Cypress Creek Rd Ste 201B
Fort Lauderdale, FL 33309-1760

Mailing address

2933 W Cypress Creek Rd Ste 201B
Fort Lauderdale, FL 33309-1760
Phone (786) 348-9834

National Provider Directory

National Provider Directory

Locations

2933 W Cypress Creek Rd
Ste 201B
Fort Lauderdale, FL 33309
Phone (786) 348-9834

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1306520093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 W CYPRESS CREEK RD STE 201B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091760",
            "telephone_number": "786-348-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 W CYPRESS CREEK RD STE 201B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091760",
            "telephone_number": "786-348-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-348-9834"
    },
    "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 Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.