Organization Active NPI

Connection Behavior Therapy

  • Behavior Analyst
  • Palmetto Bay, FL
National Provider Identifier
1407614605
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CONNECTION BEHAVIOR THERAPY
Practice address
9299 SW 152ND St Ste 200R
Palmetto Bay, FL 33157-1776
Phone
(305) 648-7136
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Gilda BermudezNPI 1992229454
Title
President
Phone
(305) 648-7136

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

9299 SW 152ND St Ste 200R
Palmetto Bay, FL 33157-1776

Mailing address

9299 SW 152ND St Ste 200R
Palmetto Bay, FL 33157-1776
Phone (305) 648-7136

National Provider Directory

National Provider Directory

Locations

9299 SW 152nd St
Ste 200R
Palmetto Bay, FL 33157
Phone (305) 648-7136

Practitioners & affiliated clinicians

Practitioners 1

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": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1407614605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 200R",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776",
            "telephone_number": "305-648-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 200R",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776",
            "telephone_number": "305-648-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-648-7136"
    },
    "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 Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.