NPIMap

Organization Active NPI

My Ba Therapy Center Inc.

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1588329411
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY BA THERAPY CENTER INC.
Practice address
3105 W Waters Ave Ste 302
Tampa, FL 33614-2872
Phone
(813) 325-7101
NPI assigned
Nov 4, 2021
Organization subpart
Yes
Parent organization
MY BA THERAPY CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Carl Anthony De Nobrega
Title
Owner
Phone
(407) 385-0728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3105 W Waters Ave Ste 302
Tampa, FL 33614-2872

Mailing address

8378 Ludington Cir
Orlando, FL 32836-5910
Phone (813) 325-7101

National Provider Directory

National Provider Directory
Tax ID family
My Ba Therapy Center Inc4 organizations share this tax ID, including this one
Part of
My Ba Therapy Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3105 W Waters Ave
Ste 302
Tampa, FL 33614
Phone (813) 325-7101

5929 Webb Rd
Ste 302
Tampa, FL 33615

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1588329411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8378 LUDINGTON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365910",
            "telephone_number": "813-325-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142872",
            "telephone_number": "813-325-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BA THERAPY CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY BA THERAPY CENTER INC.",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "DE NOBREGA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-385-0728"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Nov 22, 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.