NPIMap

Organization Active NPI

Holistic Behavior Therapy LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1689176786
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
16-17695 Issued in FL
Legal business name
HOLISTIC BEHAVIOR THERAPY LLC
Practice address
1072 Vista Haven Cir Apt 103
Orlando, FL 32825-3539
Phone
(407) 490-7980
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Orlando Moreno
Title
Manager
Phone
(787) 485-5546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 16-17695 FL Primary

Addresses

Primary practice location

1072 Vista Haven Cir Apt 103
Orlando, FL 32825-3539

Mailing address

1072 Vista Haven Cir Apt 103
Orlando, FL 32825-3539
Phone (407) 490-7980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1689176786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 VISTA HAVEN CIR APT 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253539",
            "telephone_number": "407-490-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 VISTA HAVEN CIR APT 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253539",
            "telephone_number": "407-490-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-485-5546"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "16-17695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.