Angie Behavioral Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ANGIE BEHAVIORAL CORP

Practice address

11117 W Okeechobee Rd Ste 123
Hialeah, FL 33018-4210

Phone

(305) 316-0458

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maydelin La Rosa Llerena, BCBANPI 1255789848

Title

President

Phone

(305) 316-0458

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maydelin La Rosa Llerena

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1255789848
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1316659063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 W 29TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185349",
            "telephone_number": "305-316-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD STE 123",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184210",
            "telephone_number": "305-316-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE BEHAVIORAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "LA ROSA LLERENA",
        "authorized_official_first_name": "MAYDELIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-316-0458",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.