Campbell Academy South, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CAMPBELL ACADEMY SOUTH, INC

Practice address

367 SE 2ND Ave
Homestead, FL 33030-6107

Phone

(786) 853-5525

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Jorge Lopez

Title

Owner

Phone

(786) 853-5525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1598524910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334506",
            "telephone_number": "786-853-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 SE 2ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306107",
            "telephone_number": "786-853-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL ACADEMY SOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-853-5525"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alina Campo Ayala
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• Behavior Analyst in Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.