Radiant Life ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

RADIANT LIFE ABA, LLC

Practice address

3551 Everglades Rd
Palm Beach Gardens, FL 33410-2312

Phone

(561) 613-7576

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Diana Breud, BCBANPI 1477187342

Title

Ceo

Phone

(561) 613-7576

Specialties & licenses 1

Addresses

Practitioners 2

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

• Diana Carolina Breud, MA, BCBA

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1477187342
  NPD Authorized official
• Peter Triano, RBT

  • Behavior Technician
  • Palm Beach Gardens, FL
  • NPI 1962247833

  Single Specialty

  NPD

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1356117600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 EVERGLADES RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 EVERGLADES RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102312",
            "telephone_number": "561-613-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIFE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BREUD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-613-7576",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Renae Quinn, PA
• David Quintero, DC
• Jorge Armando Quintero
• R Robert Eastridge MD PA
• Lisa M. Rabant, OTR/L, CHT
• Radiation Oncology Institute, LLC
• Radiology Physician Solutions of Florida LLC
• Tarranique Rahming, B.S
• Ibrahim Ali Rajab Rajab, MD
• Carole Sundell Rajan, MSW, LCSW

• Behavior Analyst in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 19, 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.