Active NPI
Mita ABA
- Behavior Analyst
- Hollywood, FL
National Provider Identifier
1376353334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MITA ABA
- Practice address
- 1720 Harrison St Ste 5a
Hollywood, FL 33020-6839 - Phone
- (786) 540-0458
- Fax
- (754) 551-2627
- NPI assigned
- Jan 11, 2025
- Organization subpart
- Yes
- Parent organization
- RUSSIAN COMMUNITY SERVICE AND SUPPORT FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tatiana Mikhaylova, MS
- Title
- Bcba
- Phone
- (786) 540-0458
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1720 Harrison St Ste 5a
Hollywood, FL 33020-6839
Mailing address
3530 Mystic Pointe Dr Apt 608
Aventura, FL 33180-4526
Phone (786) 540-0458
Other practice location 1
3530 Mystic Pointe Dr Apt 608
Aventura, FL 33180-4526
Phone (786) 540-0458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO282470PT39BA-LA | Medicaid | FL |
Other names 1
- Mita ABA
National Provider Directory
National Provider Directory- Part of
- Mita ABA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Aventura, FL
- NPI 1891259172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1376353334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 MYSTIC POINTE DR APT 608",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331804526",
"telephone_number": "786-540-0458",
"fax_number": "754-551-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 HARRISON ST STE 5A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206839",
"telephone_number": "786-540-0458",
"fax_number": "754-551-2627"
}
],
"practiceLocations": [
{
"address_1": "3530 Mystic Pointe Dr Apt 608",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331804526",
"country_code": "US",
"telephone_number": "786-540-0458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MITA ABA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSSIAN COMMUNITY SERVICE AND SUPPORT FOUNDATION",
"enumeration_date": "2025-01-11",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "MIKHAYLOVA",
"authorized_official_first_name": "TATIANA",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "786-540-0458",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CO282470PT39BA-LA",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mita ABA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 22, 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.