NPIMap

Organization Active NPI

Heaven Academy Corp

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1578009338
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEAVEN ACADEMY CORP
Practice address
2807 Edgewater Dr
Orlando, FL 32804-4411
Phone
(407) 601-3553
Fax
(407) 613-5600
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Francisco Navarro Martin
Title
Director
Phone
(786) 775-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2807 Edgewater Dr
Orlando, FL 32804-4411

Mailing address

2807 Edgewater Dr
Orlando, FL 32804-4411
Phone (407) 601-3553

National Provider Directory

National Provider Directory

Locations

2807 Edgewater Dr
Orlando, FL 32804
Phone (407) 601-3553

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1578009338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044411",
            "telephone_number": "407-601-3553",
            "fax_number": "407-613-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044411",
            "telephone_number": "407-601-3553",
            "fax_number": "407-613-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN ACADEMY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "NAVARRO MARTIN",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-775-8804"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.