Organization Active NPI

Saint Jude Behavior Analysis LLC

  • Behavior Analyst
  • Palm Beach Gardens, FL
National Provider Identifier
1699341040
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SAINT JUDE BEHAVIOR ANALYSIS LLC
Practice address
3801 Pga Blvd Ste 643
Palm Beach Gardens, FL 33410-2756
Phone
(305) 776-0490
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Ernesto Lorenzo
Title
President
Phone
(305) 776-0490

Specialties & licenses 1

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

Addresses

Primary practice location

3801 Pga Blvd Ste 643
Palm Beach Gardens, FL 33410-2756

Mailing address

3801 Pga Blvd Ste 643
Palm Beach Gardens, FL 33410-2756
Phone (305) 776-0490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1699341040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD STE 643",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102756",
            "telephone_number": "305-776-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD STE 643",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102756",
            "telephone_number": "305-776-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JUDE BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-776-0490"
    },
    "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 Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.