Organization Active NPI

Florida Kids Behavioral Analysis Corp

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1487414207
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA KIDS BEHAVIORAL ANALYSIS CORP
Practice address
4720 SE 15TH Ave Ste 212
Cape Coral, FL 33904-9600
Phone
(305) 539-8799
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dayana AguirregaviriaNPI 1942080890
Title
President
Phone
(305) 539-8799

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

4720 SE 15TH Ave Ste 212
Cape Coral, FL 33904-9600

Mailing address

4720 SE 15TH Ave Ste 212
Cape Coral, FL 33904-9600
Phone (305) 539-8799

National Provider Directory

National Provider Directory
Tax ID family
Florida Kids Behavioral Analysis Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4720 SE 15th Ave
Ste 212
Cape Coral, FL 33904
Phone (305) 539-8799

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": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1487414207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 212",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049600",
            "telephone_number": "305-539-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 212",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049600",
            "telephone_number": "305-539-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDS BEHAVIORAL ANALYSIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "AGUIRREGAVIRIA",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-539-8799"
    },
    "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 Cape Coral, FL

Sources for this page

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