Organization Active NPI

Haven Behavior Corp.

  • Behavior Analyst
  • Boca Raton, FL
National Provider Identifier
1619649480
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HAVEN BEHAVIOR CORP.
Practice address
1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813
Phone
(786) 357-5475
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Yessenia Iturralde
Title
Owner
Phone
(786) 357-5475

Specialties & licenses 1

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

Addresses

Primary practice location

1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813

Mailing address

1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813
Phone (786) 357-5475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1619649480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322813",
            "telephone_number": "786-357-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322813",
            "telephone_number": "786-357-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIOR CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "ITURRALDE",
        "authorized_official_first_name": "YESSENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-357-5475"
    },
    "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 Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.