Pediatric ABA 2 Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEDIATRIC ABA 2 INC

Practice address

3711 Cortez Rd W Ste 140
Bradenton, FL 34210-3150

Phone

(786) 597-2047

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wandy Caceres, BCABANPI 1194038992

Title

Ceo

Phone

(786) 597-2047

Specialties & licenses 1

Addresses

Locations

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.

• Wandy Caceres, BCABA

  • Behavior Analyst
  • Miami, FL
  • NPI 1194038992
  Authorized official Same address or phone

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1679061295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 CORTEZ RD W STE 140",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103150",
            "telephone_number": "786-597-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 CORTEZ RD W STE 140",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103150",
            "telephone_number": "786-597-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ABA 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "WANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-597-2047",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Paz Gomez, MD
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• Mercedes Maria Peck
• Patricia Ann Peck, LMHC
• Joseph P Pecoraro, M.D.
• Pediatric Therapy Group
• Pediatric Therapy Group
• Pediatric Therapy Group Services (Martin Pickett)
• Pediatric Therapy Group Services
• Pediatrix Medical Group of Florida Inc

• Community/Behavioral Health Agency in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.