Organization Active NPI

Empowered Behavioral Health Corp

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1437949260
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EMPOWERED BEHAVIORAL HEALTH CORP
Practice address
17043 NW 23Rd St
Pembroke Pines, FL 33028-2059
Phone
(305) 607-4842
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Camila Gonzalez Vidal
Title
President
Phone
(305) 607-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

17043 NW 23Rd St
Pembroke Pines, FL 33028-2059

Mailing address

17043 NW 23Rd St
Pembroke Pines, FL 33028-2059
Phone (305) 607-4842

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1437949260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17043 NW 23RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282059",
            "telephone_number": "305-607-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17043 NW 23RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282059",
            "telephone_number": "305-607-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED BEHAVIORAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ VIDAL",
        "authorized_official_first_name": "CAMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-607-4842"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.