Organization Active NPI

Birdgeway Group LLC

  • Behavior Analyst
  • Port St Lucie, FL
National Provider Identifier
1649189580
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BIRDGEWAY GROUP LLC
Practice address
3726 SW Kakopo St
Port St Lucie, FL 34953-3627
Phone
(786) 543-5916
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Javier Tejera
Title
Owner
Phone
(786) 543-5916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3726 SW Kakopo St
Port St Lucie, FL 34953-3627

Mailing address

3100 SE Federal Hwy # 1138
Stuart, FL 34994-5531
Phone (786) 543-5916

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1649189580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SE FEDERAL HWY # 1138",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945531",
            "telephone_number": "786-543-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 SW KAKOPO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533627",
            "telephone_number": "786-543-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDGEWAY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "TEJERA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-543-5916"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.