Organization Active NPI

Wonderworld Behavior and Learning Center, LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1588244529
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WONDERWORLD BEHAVIOR AND LEARNING CENTER, LLC
Practice address
2700 N Macdill Ave Ste 218
Tampa, FL 33607-2273
Phone
(813) 679-5384
NPI assigned
Apr 13, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Miriam Deming
Title
Manager
Phone
(813) 679-5384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2700 N Macdill Ave Ste 218
Tampa, FL 33607-2273

Mailing address

6044 Blue Sage Dr
Land O Lakes, FL 34639-2759
Phone (813) 679-5384

National Provider Directory

National Provider Directory

Locations

2700 N Macdill Ave
Ste 218
Tampa, FL 33607
Phone (813) 325-4903

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1588244529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 BLUE SAGE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392759",
            "telephone_number": "813-679-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MACDILL AVE STE 218",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072273",
            "telephone_number": "813-679-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERWORLD BEHAVIOR AND LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-679-5384"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "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 Apr 20, 2021; 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.