Organization Active NPI

Floridian Behavior Therapy Center Corp

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1396453791
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDIAN BEHAVIOR THERAPY CENTER CORP
Practice address
3100 NW 72ND Ave Ste 103
Miami, FL 33122-1335
Phone
(786) 970-9269
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Alejandro Romillo Perez
Title
President
Phone
(786) 970-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3100 NW 72ND Ave Ste 103
Miami, FL 33122-1335

Mailing address

3100 NW 72ND Ave Ste 103
Miami, FL 33122-1335
Phone (786) 970-9269

National Provider Directory

National Provider Directory

Locations

3100 NW 72nd Ave
Ste 103
Miami, FL 33122
Phone (786) 970-9269

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1396453791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW 72ND AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221335",
            "telephone_number": "786-970-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW 72ND AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221335",
            "telephone_number": "786-970-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN BEHAVIOR THERAPY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "ROMILLO PEREZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-970-9269"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.