Active NPI
Child Behavior Center, Inc.
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1497347272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.