Organization Active NPI

Kids Evolution Therapy Center Inc

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1528777547
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS EVOLUTION THERAPY CENTER INC
Practice address
25001 SW 127TH Ave Ste 205
Homestead, FL 33032-5834
Phone
(786) 266-4443
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Milena Ramos Perez, BCBA
Title
Officer
Phone
(786) 266-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

25001 SW 127TH Ave Ste 205
Homestead, FL 33032-5834

Mailing address

25001 SW 127TH Ave Ste 205
Homestead, FL 33032-5834
Phone (786) 266-4443

National Provider Directory

National Provider Directory

Locations

25001 SW 127th Ave
Ste 205
Homestead, FL 33032
Phone (786) 266-4443

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1528777547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE STE 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "786-266-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE STE 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "786-266-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS EVOLUTION THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "RAMOS PEREZ",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "786-266-4443",
        "authorized_official_credential": "BCBA"
    },
    "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 Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.