Organization Active NPI

Kidsrus Behavioral Therapy LLC

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1457084071
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDSRUS BEHAVIORAL THERAPY LLC
Practice address
3905 E Lake PL
Miramar, FL 33023-4937
Phone
(786) 501-1153
Fax
(954) 589-1202
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Jennifer Mayor, M.S., BCBANPI 1013447606
Title
Behavior Analysts
Phone
(786) 501-1153

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

3905 E Lake PL
Miramar, FL 33023-4937

Mailing address

3910 NW 12TH Ter
Miami, FL 33126-2621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1457084071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 NW 12TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 E LAKE PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234937",
            "telephone_number": "786-501-1153",
            "fax_number": "954-589-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSRUS BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MAYOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BEHAVIOR ANALYSTS",
        "authorized_official_telephone_number": "786-501-1153",
        "authorized_official_credential": "M.S., 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 Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.