Vital Minds Behavior Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

VITAL MINDS BEHAVIOR SERVICES, LLC

Practice address

13701 SW 88TH St Ste 303-2
Miami, FL 33186-1305

Phone

(786) 254-7847

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Elena De Jesus Garcia Cornell

Title

Authorized Official

Phone

(786) 254-7847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1669164786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 303-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861305",
            "telephone_number": "786-254-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 303-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861305",
            "telephone_number": "786-254-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MINDS BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA CORNELL",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-254-7847"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.