Organization Active NPI

Fernandez Duarte Behavioral Services Inc

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1427805050
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FERNANDEZ DUARTE BEHAVIORAL SERVICES INC
Practice address
18780 SW 294TH Ter
Homestead, FL 33030-2302
Phone
(786) 366-7168
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Imandra Fernandez DuarteNPI 1205373867
Title
President
Phone
(786) 366-7168

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

18780 SW 294TH Ter
Homestead, FL 33030-2302

Mailing address

18780 SW 294TH Ter
Homestead, FL 33030-2302
Phone (786) 366-7168

National Provider Directory

National Provider Directory

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": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1427805050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18780 SW 294TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302302",
            "telephone_number": "786-366-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 SW 294TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302302",
            "telephone_number": "786-366-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ DUARTE BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ DUARTE",
        "authorized_official_first_name": "IMANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-366-7168"
    },
    "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 Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.