Organization Active NPI

New World Behavioral Therapy LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1346986510
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEW WORLD BEHAVIORAL THERAPY LLC
Practice address
15050 Elderberry LN Ste 6-7
Fort Myers, FL 33907-8504
Phone
(239) 208-2204
Fax
(239) 437-8099
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mrs. Irelis Delgado HernandezNPI 1821114356
Title
Officer
Phone
(239) 208-2204

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

15050 Elderberry LN Ste 6-7
Fort Myers, FL 33907-8504

Mailing address

15050 Elderberry LN Ste 6-7
Fort Myers, FL 33907-8504
Phone (239) 208-2204

Other practice location 1

15050 Elderberry Ln Ste 6-7
Fort Myers, FL 33907-8504
Phone (239) 208-2204

National Provider Directory

National Provider Directory

Locations

15050 Elderberry Ln
Ste 67
Fort Myers, FL 33907
Phone (239) 208-2204

Practitioners & affiliated clinicians

Practitioners 1

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": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1346986510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN STE 6-7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-208-2204",
            "fax_number": "239-437-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN STE 6-7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-208-2204",
            "fax_number": "239-437-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15050 Elderberry Ln Ste 6-7",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339078504",
            "country_code": "US",
            "telephone_number": "239-208-2204",
            "fax_number": "239-437-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW WORLD BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DELGADO HERNANDEZ",
        "authorized_official_first_name": "IRELIS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "239-208-2204",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Fort Myers, FL

Sources for this page

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