Organization Active NPI

Child Behavior Center, Inc.

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1497347272
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHILD BEHAVIOR CENTER, INC.
Practice address
897 Towne Center Dr Ste 101
Kissimmee, FL 34759-3473
Phone
(321) 303-4819
Fax
(866) 532-6911
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Lourdes Rivera-Gonzalez, ADMIN
Title
President
Phone
(321) 303-4819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

897 Towne Center Dr Ste 101
Kissimmee, FL 34759-3473

Mailing address

3051 Menorca CT
Kissimmee, FL 34744-4124
Phone (321) 303-4819

National Provider Directory

National Provider Directory

Locations

897 Towne Center Dr
Ste A
Kissimmee, FL 34759

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1497347272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 MENORCA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444124",
            "telephone_number": "321-303-4819",
            "fax_number": "866-532-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 TOWNE CENTER DR STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593473",
            "telephone_number": "321-303-4819",
            "fax_number": "866-532-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD BEHAVIOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA-GONZALEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-303-4819",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.