Organization Active NPI

Advance Behavior Health LLC

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1659062800
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

Other providers in Hollywood, FL

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.

Verify at the official NPI Registry.