Agapula Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AGAPULA CORP

Practice address

2054 Vista Pkwy Ste 413
West Palm Beach, FL 33411-6741

Phone

(305) 709-8974

NPI assigned

May 20, 2024

Last updated

May 20, 2024By 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

Mariela PetrakiNPI 1871080580

Title

Bcba

Phone

(305) 709-8974

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.

• Mariela Petraki

  • Behavior Analyst
  • Port Saint Lucie, FL
  • NPI 1871080580
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1639918840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 SW GLORIANA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349874706",
            "telephone_number": "305-709-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 413",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116741",
            "telephone_number": "305-709-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPULA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "PETRAKI",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "305-709-8974"
    },
    "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 West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.