Active NPI
Advance Behavior Health LLC
- Behavior Analyst
- Hollywood, FL
National Provider Identifier
1659062800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ADVANCE BEHAVIOR HEALTH LLC
- Practice address
- 4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526 - Phone
- (954) 589-1971
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Hayes
- Title
- Officer
- Phone
- (954) 589-1971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526
Mailing address
4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526
Phone (954) 589-1971
National Provider Directory
National Provider DirectoryLocations
4624 Hollywood Blvd
Ste 203
Hollywood, FL 33021
Phone (786) 254-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1659062800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 HOLLYWOOD BLVD STE 203",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216526",
"telephone_number": "954-589-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 HOLLYWOOD BLVD STE 203",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216526",
"telephone_number": "954-589-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE BEHAVIOR HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-589-1971"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.