Organization Active NPI

MLC Behavior Care LLC

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1679172183
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MLC BEHAVIOR CARE LLC
Practice address
1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801
Phone
(786) 546-1092
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mary Laura Casido
Title
Owner
Phone
(786) 546-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801

Mailing address

1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801
Phone (786) 546-1092

National Provider Directory

National Provider Directory
Tax ID family
MLC Behavior Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

19 Del Prado Blvd N
Ste I
Cape Coral, FL 33909
Phone (786) 399-4920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1679172183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SE 17TH AVE STE E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903801",
            "telephone_number": "786-546-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SE 17TH AVE STE E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903801",
            "telephone_number": "786-546-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLC BEHAVIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "CASIDO",
        "authorized_official_first_name": "MARY LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-546-1092"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

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