Organization Active NPI

Elite Behavior Therapy LLC

  • Behavior Analyst
  • Aventura, FL
National Provider Identifier
1306676630
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELITE BEHAVIOR THERAPY LLC
Practice address
19210 W Dixie Hwy
Aventura, FL 33180-2642
Phone
(786) 877-8093
NPI assigned
Aug 2, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Sonia Millares
Title
Administrator
Phone
(786) 877-8093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

19210 W Dixie Hwy
Aventura, FL 33180-2642

Mailing address

19210 W Dixie Hwy
Aventura, FL 33180-2642
Phone (786) 877-8093

National Provider Directory

National Provider Directory

Locations

19210 W Dixie Hwy
Aventura, FL 33180
Phone (786) 877-8093

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1306676630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19210 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802642",
            "telephone_number": "786-877-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802642",
            "telephone_number": "786-877-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MILLARES",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-877-8093"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.