Active NPI
Su Therapy PA
- Behavior Analyst
- Boca Raton, FL
National Provider Identifier
1427721422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SU THERAPY PA
- Practice address
- 150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833 - Phone
- (954) 295-5526
- NPI assigned
- Jul 27, 2021
- Last updated
- Jul 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary J Miranda
- Title
- Owner
- Phone
- (954) 295-5526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Mailing address
150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Phone (954) 295-5526
National Provider Directory
National Provider DirectoryPractitioners & 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": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1427721422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E PALMETTO PARK RD STE 800",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334324833",
"telephone_number": "954-295-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E PALMETTO PARK RD STE 800",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334324833",
"telephone_number": "954-295-5526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SU THERAPY PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-295-5526"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.