MCC ABA Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MCC ABA THERAPY INC

Practice address

13550 SW 88TH St Ste 270a
Miami, FL 33186-1513

Phone

(786) 398-0187

Fax

(305) 456-7064

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Marlene Carrion Cruz

Title

C.E.O

Phone

(786) 398-0187

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MCC ABA THERAPY INC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1508577974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 270A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "786-398-0187",
            "fax_number": "305-456-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 270A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "786-398-0187",
            "fax_number": "305-456-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC ABA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CARRION CRUZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "786-398-0187"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021946900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MCCABATHERAPYINC",
            "affiliation": "N",
            "address_1": "13550 SW 88th St Ste 270A",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331861513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MCC ABA THERAPY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cynisia T McBean, PA-C
• Andrew Parks McBride, MD
• Mark Joseph McBride, MD
• Silvia Alvarez McBride, LMHC
• Stormy Gale McBride, APNP
• MCC Medical Supply, Inc.
• MCC Team Serv Inc
• Joseph P McCain, D.M.D.
• Brenda McCall, MS
• James McCall, PHARMD

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.