Tiny Champs ABA Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TINY CHAMPS ABA CORP

Practice address

10700 Caribbean Blvd Ste 406
Cutler Bay, FL 33189-1232

Phone

(786) 344-6224

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Jose Luis Ibanez

Title

President

Phone

(786) 344-6224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1497430862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD STE 406",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "786-344-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD STE 406",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "786-344-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY CHAMPS ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-344-6224"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katleen Thermezy Etienne, ARNP
• Kimberly Andrea Thomas, ARNP
• Rosalyn Theresa Thompson Foney
• Ann M Thornton, PTA
• Angelica Tineo
• Ivette Tobenas
• Todd C. Alea, M.D., P.a.
• Von Dennise Toledano, LICENSE: MA 98737
• Melissa Toledo Morales
• Anamarys Toledo

• Behavior Analyst in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.