Individual provider Active NPI

Laurie Morden Berben

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1629441217
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-42322 Issued in FL
Practice address
8785 SW 165TH Ave # 103-104
Miami, FL 33193-5826
Phone
(786) 206-6500
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-42322 FL Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

8785 SW 165TH Ave # 103-104
Miami, FL 33193-5826

Mailing address

7852 Ambleside Way
Lake Worth, FL 33467-7348
Phone (561) 329-1347

Other practice location 1

3030 N Rocky Point Dr W Ste 150A
Tampa, FL 33607-5803
Phone (954) 603-7885

Other practice location 2

2011 NE 60th St
Ft Lauderdale, FL 33308-2127
Phone (954) 830-9508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Therapy LLC Behavior Analyst PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1629441217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7852 AMBLESIDE WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677348",
            "telephone_number": "561-329-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 SW 165TH AVE # 103-104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935826",
            "telephone_number": "786-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 N Rocky Point Dr W Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075803",
            "country_code": "US",
            "telephone_number": "954-603-7885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 NE 60th St",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333082127",
            "country_code": "US",
            "telephone_number": "954-830-9508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBEN",
        "first_name": "LAURIE",
        "middle_name": "MORDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-42322",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.