Excellence ABA Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EXCELLENCE ABA THERAPY INC

Practice address

3679 Davie Blvd
Fort Lauderdale, FL 33312

Phone

(786) 457-0952

Fax

(954) 416-7570

NPI assigned

Nov 18, 2022

Organization subpart

No

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

Authorized official

Name

Pablo M Martinez ReyesNPI 1770127052

Title

President

Phone

(786) 457-0952

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pablo M Martinez Reyes

  • Behavior Analyst
  • Hollywood, FL
  • NPI 1770127052
  NPD Authorized official

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1336858307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "786-457-0952",
            "fax_number": "954-416-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "786-457-0952",
            "fax_number": "954-416-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE ABA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ REYES",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-457-0952"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.