Organization Active NPI

Reinforce and Modify LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1538873906
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
REINFORCE AND MODIFY LLC
Practice address
8209 Malvern Cir
Tampa, FL 33634-2242
Phone
(863) 510-3772
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Yelena Milagros Fuentes DiazNPI 1275206658
Title
Owner
Phone
(863) 510-3772

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
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

8209 Malvern Cir
Tampa, FL 33634-2242

Mailing address

8209 Malvern Cir
Tampa, FL 33634-2242
Phone (863) 510-3772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1538873906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 MALVERN CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342242",
            "telephone_number": "863-510-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 MALVERN CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342242",
            "telephone_number": "863-510-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINFORCE AND MODIFY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "FUENTES DIAZ",
        "authorized_official_first_name": "YELENA",
        "authorized_official_middle_name": "MILAGROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-510-3772"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.