Organization Active NPI

Kids Matter ABA Solutions, LLC

  • Behavior Technician
  • Lakeland, FL
National Provider Identifier
1649059833
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
KIDS MATTER ABA SOLUTIONS, LLC
Practice address
1857 N Crystal Lake Dr
Lakeland, FL 33801-5955
Phone
(863) 337-5056
Fax
(863) 337-4891
NPI assigned
Sep 26, 2023
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mr. Pedro Antonio Berrios-Cintron
Title
Ceo/Founder
Phone
(863) 337-5056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

1857 N Crystal Lake Dr
Lakeland, FL 33801-5955

Mailing address

1857 N Crystal Lake Dr
Lakeland, FL 33801-5955
Phone (863) 337-5056

National Provider Directory

National Provider Directory

Locations

1857 N Crystal Lake Dr
Lakeland, FL 33801
Phone (863) 337-5056

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1649059833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 N CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015955",
            "telephone_number": "863-337-5056",
            "fax_number": "863-337-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 N CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015955",
            "telephone_number": "863-337-5056",
            "fax_number": "863-337-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS MATTER ABA SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BERRIOS-CINTRON",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "863-337-5056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.