Organization Active NPI

Behavioral Multidisciplinary Center Corp

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1679190078
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL MULTIDISCIPLINARY CENTER CORP
Practice address
1416 Simpson Rd
Kissimmee, FL 34744-4600
Phone
(321) 947-8923
Fax
(407) 307-2328
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mariely Colon, PH.D, LMHC, MBANPI 1235475807
Title
Clinical Director
Phone
(407) 541-7965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1416 Simpson Rd
Kissimmee, FL 34744-4600

Mailing address

2840 Willowseed LN
Saint Cloud, FL 34772-9364
Phone (321) 947-9220

Other practice location 1

2019 Old Hickory Tree Rd
Saint Cloud, FL 34771-5815
Phone (321) 947-8923

Other practice location 2

2655 Michigan Ave Ste 7
Kissimmee, FL 34744-1936
Phone (321) 947-8923

Other practice location 3

5575 S Semoran Blvd Ste 7
Orlando, FL 32822-1781
Phone (321) 947-8923

Other names 1

  • Behavioral and Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

2655 Michigan Ave
Ste 7
Kissimmee, FL 34744
Phone (321) 947-8923

1416 Simpson Rd
Kissimmee, FL 34744
Phone (321) 947-8923

2019 Old Hickory Tree Rd
Saint Cloud, FL 34771
Phone (321) 947-8923

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1679190078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 WILLOWSEED LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347729364",
            "telephone_number": "321-947-9220",
            "fax_number": "407-307-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444600",
            "telephone_number": "321-947-8923",
            "fax_number": "407-307-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Old Hickory Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347715815",
            "country_code": "US",
            "telephone_number": "321-947-8923",
            "fax_number": "407-307-2328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Michigan Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347441936",
            "country_code": "US",
            "telephone_number": "321-947-8923",
            "fax_number": "407-307-2328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 S Semoran Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221781",
            "country_code": "US",
            "telephone_number": "321-947-8923",
            "fax_number": "407-307-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL MULTIDISCIPLINARY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "MARIELY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-541-7965",
        "authorized_official_credential": "PH.D, LMHC, MBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Behavioral and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.