Individual provider Active NPI

Nina Alexa Alonso

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1376313445
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
468767549 Issued in FL
Practice address
4400 W Hallandale Beach Blvd
Hollywood, FL 33023-4332
Phone
(305) 921-4245
NPI assigned
Jan 8, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 468767549 FL Primary

Addresses

Primary practice location

4400 W Hallandale Beach Blvd
Hollywood, FL 33023-4332

Mailing address

14500 SW 35TH St
Miramar, FL 33027-3748
Phone (954) 665-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
468767549FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Star Therapy LLC CurrentSince May 12, 2024 Accepting new patients

Locations

4400 W Hallandale Beach Blvd
Pembroke Pines, FL 33023
Phone (305) 921-4245

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1376313445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 SW 35TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273748",
            "telephone_number": "954-665-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W HALLANDALE BEACH BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330234332",
            "telephone_number": "305-921-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "NINA",
        "middle_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "468767549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.