NPIMap

Organization Active NPI

Dream Team Behavioral Services, LLC

  • Assistant Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1497369540
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
DREAM TEAM BEHAVIORAL SERVICES, LLC
Practice address
6915 W 2ND Way
Hialeah, FL 33014-5319
Phone
(440) 320-6543
Fax
(786) 226-0641
NPI assigned
Sep 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Jessica Kathleen Camarillo, BCABANPI 1609377399
Title
Clinical Manager
Phone
(440) 320-6543

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106E00000X Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

6915 W 2ND Way
Hialeah, FL 33014-5319

Mailing address

6915 W 2ND Way
Hialeah, FL 33014-5319
Phone (440) 320-6543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1497369540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 W 2ND WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145319",
            "telephone_number": "440-320-6543",
            "fax_number": "786-226-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 W 2ND WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145319",
            "telephone_number": "440-320-6543",
            "fax_number": "786-226-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-06",
        "last_updated": "2022-07-20",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "CAMARILLO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "440-320-6543",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

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