Organization Active NPI

Radiant ABA LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1407609910
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RADIANT ABA LLC
Practice address
12985 SW 130TH CT # 107-2
Miami, FL 33186-5312
Phone
(786) 320-2170
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Hansel Garcia
Title
Director
Phone
(786) 320-2170

Specialties & licenses 1

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

Addresses

Primary practice location

12985 SW 130TH CT # 107-2
Miami, FL 33186-5312

Mailing address

14829 SW 91St Ter
Miami, FL 33196-1497
Phone (786) 320-2170

National Provider Directory

National Provider Directory

Locations

12985 SW 130th Ct
#1072
Miami, FL 33186
Phone (786) 320-2170

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1407609910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14829 SW 91ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961497",
            "telephone_number": "786-320-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT # 107-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "786-320-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "HANSEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-320-2170"
    },
    "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 Apr 8, 2024; 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.