Organization Active NPI

Spring Behavior Management LLC

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1508563677
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
SPRING BEHAVIOR MANAGEMENT LLC
Practice address
11401 SW 40TH St Ste 318
Miami, FL 33165-3339
Phone
(786) 484-4116
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Lisandra Gamboa HernandezNPI 1194474114
Title
President
Phone
(786) 484-4116

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X Primary

Addresses

Primary practice location

11401 SW 40TH St Ste 318
Miami, FL 33165-3339

Mailing address

11401 SW 40TH St Ste 318
Miami, FL 33165-3339
Phone (786) 484-4116

Other identifiers 1

IdentifierTypeStateIssuer
204753590MedicaidFL

Other names 1

  • SPRING BEHAVIOR MANAGEMENT LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

11401 SW 40th St
Ste 318
Miami, FL 33165
Phone (305) 456-1650

Practitioners & affiliated clinicians

Practitioners 1

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1508563677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 SW 40TH ST STE 318",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653339",
            "telephone_number": "786-484-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 SW 40TH ST STE 318",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653339",
            "telephone_number": "786-484-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BEHAVIOR MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GAMBOA HERNANDEZ",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-484-4116"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204753590",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRING BEHAVIOR MANAGEMENT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.