NPIMap

Organization Active NPI

Prism Early Advancement Center 1 LLC

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1386225688
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRISM EARLY ADVANCEMENT CENTER 1 LLC
Practice address
245 Catalonia Ave
Coral Gables, FL 33134-6704
Phone
(305) 448-2828
NPI assigned
Apr 19, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Christopher Malek
Title
Managing Member
Phone
(305) 448-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

245 Catalonia Ave
Coral Gables, FL 33134-6704

Mailing address

245 Catalonia Ave
Coral Gables, FL 33134-6704

National Provider Directory

National Provider Directory

Locations

245 Catalonia Ave
Coral Gables, FL 33134
Phone (305) 448-2828

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1386225688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CATALONIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CATALONIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346704",
            "telephone_number": "305-448-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM EARLY ADVANCEMENT CENTER 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-448-2828"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.