Active NPI
Avant - Garde Behavioral Therapy Corp
- Behavior Analyst
- Davie, FL
National Provider Identifier
1508632225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- AVANT - GARDE BEHAVIORAL THERAPY CORP
- Practice address
- 12555 Orange Dr
Davie, FL 33330-4304 - Phone
- (305) 299-6995
- NPI assigned
- Dec 4, 2023
- 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
- Frank R Herrera
- Title
- Officer
- Phone
- (305) 299-6995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
12555 Orange Dr
Davie, FL 33330-4304
Mailing address
12555 Orange Dr
Davie, FL 33330-4304
Phone (305) 299-6995
National Provider Directory
National Provider DirectoryLocations
12555 Orange Dr
Ste 234
Davie, FL 33330
Phone (305) 298-4599
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Opa Locka, FL
- NPI 1295537116
-
- Behavior Analyst
- Sunrise, FL
- NPI 1376072447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1508632225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 ORANGE DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304304",
"telephone_number": "305-299-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 ORANGE DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304304",
"telephone_number": "305-299-6995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANT - GARDE BEHAVIORAL THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "HERRERA",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "305-299-6995"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.