Organization Active NPI

Paradise Behavior Analysis Corp

  • Behavior Analyst
  • Greenacres, FL
National Provider Identifier
1427711142
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PARADISE BEHAVIOR ANALYSIS CORP
Practice address
3900 Woodlake Blvd Ste 201B
Greenacres, FL 33463-3044
Phone
(561) 247-6020
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Omannys Diaz CeballoNPI 1841724523
Title
President
Phone
(602) 551-4926

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3900 Woodlake Blvd Ste 201B
Greenacres, FL 33463-3044

Mailing address

3900 Woodlake Blvd Ste 201B
Greenacres, FL 33463-3044

National Provider Directory

National Provider Directory

Locations

3900 Woodlake Blvd
Ste 201B
Greenacres, FL 33463
Phone (561) 247-6020

4645 Gun Club Rd
Ste 19
West Palm Beach, FL 33415
Phone (561) 247-0803

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": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1427711142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD STE 201B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD STE 201B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633044",
            "telephone_number": "561-247-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE BEHAVIOR ANALYSIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ CEBALLO",
        "authorized_official_first_name": "OMANNYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-551-4926"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.