Hazel Behavior Health Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HAZEL BEHAVIOR HEALTH INC

Practice address

569 Hazel St
Key Largo, FL 33037-3125

Phone

(305) 439-4877

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mirelys Valdes

Title

President

Phone

(305) 439-4877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1417622689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HAZEL ST",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373125",
            "telephone_number": "305-439-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HAZEL ST",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373125",
            "telephone_number": "305-439-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL BEHAVIOR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MIRELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-439-4877"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Key Largo, FL
• Providers in Key Largo, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.