NPIMap

Organization Active NPI

Crystal Minds New Beginning Inc.

  • Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1518238229
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0093695 Issued in FL
Legal business name
CRYSTAL MINDS NEW BEGINNING INC.
Practice address
20833 NW 41St Avenue Rd
Miami Gardens, FL 33055-1370
Phone
(786) 317-4478
NPI assigned
Jan 26, 2012
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mrs. Monica D Gilbert, BCABA, ITDS
Title
President/Owner
Phone
(786) 317-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0093695 FL Primary

Addresses

Primary practice location

20833 NW 41St Avenue Rd
Miami Gardens, FL 33055-1370

Mailing address

20833 NW 41St Avenue Rd
Miami Gardens, FL 33055-1370

National Provider Directory

National Provider Directory

Locations

7875 NW 12th St
Ste 110
Doral, FL 33126
Phone (786) 269-3502

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1518238229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 NW 41ST AVENUE RD",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20833 NW 41ST AVENUE RD",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551370",
            "telephone_number": "786-317-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL MINDS NEW BEGINNING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-317-4478",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCABA, ITDS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0093695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.