Organization Active NPI

The Creative Child ABA Therapy Corp

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1447948807
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE CREATIVE CHILD ABA THERAPY CORP
Practice address
13200 SW 128TH St Ste A3
Miami, FL 33186-5826
Phone
(305) 904-2663
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Maylen Perez
Title
President
Phone
(305) 904-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

13200 SW 128TH St Ste A3
Miami, FL 33186-5826

Mailing address

13200 SW 128TH St Ste A3
Miami, FL 33186-5826
Phone (305) 904-2663

National Provider Directory

National Provider Directory

Locations

13200 SW 128th St
Ste A3
Miami, FL 33186
Phone (305) 251-7084

9100 S Dadeland Blvd
Ste 1500
Miami, FL 33156
Phone (305) 714-2202

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1447948807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 SW 128TH ST STE A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865826",
            "telephone_number": "305-904-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 SW 128TH ST STE A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865826",
            "telephone_number": "305-904-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CREATIVE CHILD ABA THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MAYLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-904-2663"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.