Organization Active NPI

Mita ABA

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1376353334
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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 FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Tatiana Mikhaylova, MSNPI 1891259172
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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CO282470PT39BA-LAMedicaidFL

Other names 1

  • Mita ABA Doing business as

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.

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.

Verify at the official NPI Registry.