Organization Active NPI

Optimus Behavior Care, LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1447967716
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OPTIMUS BEHAVIOR CARE, LLC
Practice address
7763 NW 64TH St Ste 2
Miami, FL 33166-3503
Phone
(786) 372-2796
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Grisell Nualles, BCBANPI 1710429766
Title
MGR
Phone
(786) 372-2796

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7763 NW 64TH St Ste 2
Miami, FL 33166-3503

Mailing address

7763 NW 64TH St Ste 2
Miami, FL 33166-3503
Phone (786) 372-2796

National Provider Directory

National Provider Directory

Locations

7763 NW 64th St
Ste 2
Miami, FL 33166
Phone (786) 372-2796

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1447967716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 NW 64TH ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663503",
            "telephone_number": "786-372-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 NW 64TH ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663503",
            "telephone_number": "786-372-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS BEHAVIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "NUALLES",
        "authorized_official_first_name": "GRISELL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-372-2796",
        "authorized_official_credential": "BCBA"
    },
    "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 Nov 4, 2022; 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.