Professional Behavior Care LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROFESSIONAL BEHAVIOR CARE LLC

Practice address

6447 Miami Lakes Dr E Ste 103C
Miami Lakes, FL 33014-2771

Phone

(786) 600-9378

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Roberto Roque

Title

MBR

Phone

(786) 600-9378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1437657178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR E STE 103C",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142771",
            "telephone_number": "786-600-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR E STE 103C",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142771",
            "telephone_number": "786-600-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL BEHAVIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "786-600-9378"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.