Active NPI
Vitality Kids Counseling Group
- Behavior Analyst
- Cape Coral, FL
National Provider Identifier
1629659438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- VITALITY KIDS COUNSELING GROUP
- Practice address
- 229 Del Prado Blvd N Ste 9
Cape Coral, FL 33909-2266 - Phone
- (786) 384-0799
- NPI assigned
- Apr 14, 2021
- Last updated
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edel Miranda, AUTHORIZED OFFICIAL
- Title
- President
- Phone
- (786) 384-0799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
229 Del Prado Blvd N Ste 9
Cape Coral, FL 33909-2266
Mailing address
229 Del Prado Blvd N Ste 9
Cape Coral, FL 33909-2266
Phone (786) 384-0799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BT21-90373 | Other | LICENSE |
National Provider Directory
National Provider DirectoryLocations
229 Del Prado Blvd N
Ste 9
Cape Coral, FL 33909
Phone (786) 384-0799
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Behavior Analyst
- Fort Myers, FL
- NPI 1992584882
-
- Behavior Analyst
- Cape Coral, FL
- NPI 1962198614
-
- Behavior Analyst
- Miami, FL
- NPI 1790217461
-
- Behavior Analyst
- Fort Myers, FL
- NPI 1962859603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1629659438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 DEL PRADO BLVD N STE 9",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092266",
"telephone_number": "786-384-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 DEL PRADO BLVD N STE 9",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092266",
"telephone_number": "786-384-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY KIDS COUNSELING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "EDEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-384-0799",
"authorized_official_credential": "AUTHORIZED OFFICIAL"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "BT21-90373",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.