Palm Beach Autism Specialists, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PALM BEACH AUTISM SPECIALISTS, LLC

Practice address

345 Jupiter Lakes Blvd Ste 302B
Jupiter, FL 33458-7100

Phone

(954) 702-8488

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Sobrino Sanchez, MS., BCBA.,CAS

Title

President /Bcba

Phone

(954) 740-2470

Specialties & licenses 1

Addresses

Other names 1

• Palm Beach Autism Specialists, LLC Former legal business name

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1487287439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD STE 302B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "954-702-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD STE 302B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "954-702-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH AUTISM SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "SOBRINO SANCHEZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT /BCBA",
        "authorized_official_telephone_number": "954-740-2470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS., BCBA.,CAS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Autism Specialists, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Behavior Analyst in Jupiter, FL
• Providers in Jupiter, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.