Adt Behavior Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADT BEHAVIOR SERVICES LLC

Practice address

25001 SW 127TH Ave Ste 202
Homestead, FL 33032-5834

Phone

(786) 720-1863

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Addis Tarrero MendozaNPI 1487138871

Title

Owner

Phone

(786) 720-1863

Specialties & licenses 1

Addresses

Locations

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.

• Addis Tarrero Mendoza

  • Behavior Analyst
  • Princeton, FL
  • NPI 1487138871
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1609572296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE STE 202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "786-720-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE STE 202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "786-720-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADT BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "TARRERO MENDOZA",
        "authorized_official_first_name": "ADDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-720-1863"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Feb 6, 2023; 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.