Organization Active NPI

Kid Centered Therapy

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1649801390
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KID CENTERED THERAPY
Practice address
7971 Riviera Blvd Ste 402
Miramar, FL 33023-6449
Phone
(561) 446-0446
NPI assigned
Jan 31, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Siriporn Cerber, LCSW BCBANPI 1548618424
Title
Owner
Phone
(561) 446-0446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7971 Riviera Blvd Ste 402
Miramar, FL 33023-6449

Mailing address

7971 Riviera Blvd Ste 402
Miramar, FL 33023-6449
Phone (954) 816-9713

Other identifiers 1

IdentifierTypeStateIssuer
022328200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kid Centered Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1649801390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 402",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236449",
            "telephone_number": "954-816-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 402",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236449",
            "telephone_number": "561-446-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID CENTERED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "CERBER",
        "authorized_official_first_name": "SIRIPORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-446-0446",
        "authorized_official_credential": "LCSW BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022328200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.