NPIMap

Organization Active NPI

Betty Reynolds

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1407206923
Registry record updated Jun 15, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2625 Issued in FL
Legal business name
BETTY REYNOLDS
Practice address
13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438
Phone
(954) 394-2835
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Betty Reynolds, SW
Title
Owner
Phone
(954) 394-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 2625 FL Primary

Addresses

Primary practice location

13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438

Mailing address

13055 SW 15TH CT
Apt S303
Pembroke Pines, FL 33027-2438
Phone (954) 394-2835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1407206923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 15TH CT",
            "address_2": "APT S303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272438",
            "telephone_number": "954-394-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 15TH CT",
            "address_2": "APT S303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272438",
            "telephone_number": "954-394-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY REYNOLDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-394-2835",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.