Organization Active NPI

Gleaming Path ABA LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1629814777
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GLEAMING PATH ABA LLC
Practice address
9507 SW 160TH St Ste 210
Miami, FL 33157-3372
Phone
(786) 357-6584
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Ailyn PayanNPI 1245785971
Title
Ceo
Phone
(786) 357-6584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9507 SW 160TH St Ste 210
Miami, FL 33157-3372

Mailing address

9507 SW 160TH St Ste 210
Miami, FL 33157-3372

National Provider Directory

National Provider Directory

Locations

9507 SW 160th St
Ste 210
Miami, FL 33157
Phone (305) 801-8387

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1629814777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 SW 160TH ST STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 SW 160TH ST STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573372",
            "telephone_number": "786-357-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEAMING PATH ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PAYAN",
        "authorized_official_first_name": "AILYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-357-6584"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 8, 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.