Active NPI
Rainbow Miracles LLC
- Behavior Analyst
- Riverview, FL
National Provider Identifier
1679398184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- RAINBOW MIRACLES LLC
- Practice address
- 9429 US Highway 301 S
Riverview, FL 33578-5440 - Phone
- (786) 237-7769
- NPI assigned
- Nov 19, 2024
- Last updated
- Dec 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ismael Boch Berrillo
- Title
- President
- Phone
- (786) 237-7769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9429 US Highway 301 S
Riverview, FL 33578-5440
Mailing address
9429 US Highway 301 S
Riverview, FL 33578-5440
Phone (786) 237-7769
National Provider Directory
National Provider DirectoryLocations
9429 US Highway 301 S
Riverview, FL 33578
Phone (786) 237-7769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734134400000",
"number": "1679398184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9429 US HIGHWAY 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785440",
"telephone_number": "786-237-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9429 US HIGHWAY 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785440",
"telephone_number": "786-237-7769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINBOW MIRACLES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A",
"authorized_official_last_name": "BOCH BERRILLO",
"authorized_official_first_name": "ISMAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-237-7769",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.