Prisma Behavioral Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PRISMA BEHAVIORAL CENTER LLC

Practice address

1696 S Military TRL Ste C
West Palm Beach, FL 33415-5625

Phone

(786) 278-0752

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alain Perez de Alejo

Title

Ceo

Phone

(786) 278-0752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1437841467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 S MILITARY TRL STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 S MILITARY TRL STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155625",
            "telephone_number": "786-278-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ DE ALEJO",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-278-0752"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.