The Shaping Academy for Behavioral Development

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH 11547 Issued in FL

Legal business name

THE SHAPING ACADEMY FOR BEHAVIORAL DEVELOPMENT

Practice address

12930 SW 128TH St
Suite 204A1
Miami, FL 33186-6038

Phone

(305) 562-4683

Fax

(866) 517-3411

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Yanivis Gonzalez, BCBA, LMHC

Title

Ceo

Phone

(305) 562-4683

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Katherine Gomez

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
  • NPI 1063758225
  NPD (past)
• Yanivis Machado-Gonzalez, BCBA, LMHC

  • Behavior Analyst
  • Miami, FL
  • NPI 1104111640
  NPD (past)
• Rosemary Molina

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
  • NPI 1780199414
  NPD (past)
• Angelica Prieto

  • Speech-Language Pathologist
  • Lanham, MD
  • NPI 1932642782
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1710157052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SW 128TH ST",
            "address_2": "SUITE 204A1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866038",
            "telephone_number": "305-562-4683",
            "fax_number": "866-517-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SW 128TH ST",
            "address_2": "SUITE 204A1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866038",
            "telephone_number": "305-562-4683",
            "fax_number": "866-517-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHAPING ACADEMY FOR BEHAVIORAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANIVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-562-4683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 11547",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1-12-10380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.