NPIMap

Organization Active NPI

TH Vega Behavioral Corp

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1548978059
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TH VEGA BEHAVIORAL CORP
Practice address
100 NE 15TH St Ste 101a
Homestead, FL 33030-4564
Phone
(786) 547-7103
Fax
(786) 601-2507
NPI assigned
Nov 14, 2022
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Diana Hernandez de la GuardiaNPI 1831807346
Title
Ceo
Phone
(786) 410-8439

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 AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

100 NE 15TH St Ste 101a
Homestead, FL 33030-4564

Mailing address

10876 SW 229TH St
Miami, FL 33170-7517
Phone (786) 370-2216

Other practice location 1

2050 Saint Johns Pkwy Ste 105
Saint Johns, FL 32259-4593
Phone (786) 547-7103

National Provider Directory

National Provider Directory

Locations

100 NE 15th St
Ste 101A
Homestead, FL 33030
Phone (305) 764-8241

2050 Saint Johns Pkwy
Ste 105
Saint Johns, FL 32259
Phone (786) 547-7103

4925 Independence Pkwy
Ste 200
Tampa, FL 33634

Practitioners & affiliated clinicians

Practitioners 4

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1548978059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10876 SW 229TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707517",
            "telephone_number": "786-370-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 101A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304564",
            "telephone_number": "786-547-7103",
            "fax_number": "786-601-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Saint Johns Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322594593",
            "country_code": "US",
            "telephone_number": "786-547-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TH VEGA BEHAVIORAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ DE LA GUARDIA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-410-8439"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE 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 Mar 7, 2025; 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.