Sunny Smiles Behavior Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUNNY SMILES BEHAVIOR CORP

Practice address

30410 Seagrape Ter Ste 2
Big Pine Key, FL 33043-3426

Phone

(479) 420-9849

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gilberto Diaz Mira

Title

VP

Phone

(479) 420-9849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1497329270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 SW 71ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832153",
            "telephone_number": "479-420-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30410 SEAGRAPE TER STE 2",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330433426",
            "telephone_number": "479-420-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILES BEHAVIOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ MIRA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "479-420-9849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Big Pine Key, FL
• Providers in Big Pine Key, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.