Organization Active NPI

Philip-ABA Therapy Center Inc

  • Behavior Analyst
  • Weston, FL
National Provider Identifier
1558176982
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PHILIP-ABA THERAPY CENTER INC
Practice address
2625 Weston Rd # 102
Weston, FL 33331-3614
Phone
(786) 616-6029
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Maria Karla Portuondo HernandezNPI 1780295113
Title
Ceo
Phone
(786) 616-6029

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 Primary

Addresses

Primary practice location

2625 Weston Rd # 102
Weston, FL 33331-3614

Mailing address

2625 Weston Rd # 102
Weston, FL 33331-3614
Phone (786) 616-6029

National Provider Directory

National Provider Directory

Locations

2625 Weston Rd
#102
Weston, FL 33331
Phone (786) 616-6029

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": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1558176982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WESTON RD # 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313614",
            "telephone_number": "786-616-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WESTON RD # 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313614",
            "telephone_number": "786-616-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP-ABA THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "PORTUONDO HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "KARLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-616-6029"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.