Organization Active NPI

KSM Behavioral Interventions LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1336965987
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KSM BEHAVIORAL INTERVENTIONS LLC
Practice address
2801 NW 74TH Ave Ste 210
Miami, FL 33122-1443
Phone
(786) 970-6385
Fax
(786) 743-6385
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Mileisy Gonzalez Rodriguez, LMHC, MCAP, CBHCMSNPI 1407385800
Title
Ceo
Phone
(786) 970-6385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2801 NW 74TH Ave Ste 210
Miami, FL 33122-1443

Mailing address

2801 NW 74TH Ave Ste 210
Miami, FL 33122-1443
Phone (786) 970-6385

National Provider Directory

National Provider Directory

Locations

2500 E Hallandale Beach Blvd
Ste 508
Hallandale Beach, FL 33009

2801 NW 74th Ave
Ste 210
Miami, FL 33122
Phone (786) 970-6385

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1336965987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 74TH AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221443",
            "telephone_number": "786-970-6385",
            "fax_number": "786-743-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 74TH AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221443",
            "telephone_number": "786-970-6385",
            "fax_number": "786-743-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSM BEHAVIORAL INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ RODRIGUEZ",
        "authorized_official_first_name": "MILEISY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-970-6385",
        "authorized_official_credential": "LMHC, MCAP, CBHCMS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.