Organization Active NPI

Angels Behavioral Assistant LLC

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1720717069
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ANGELS BEHAVIORAL ASSISTANT LLC
Practice address
5334 Coral Vine LN
Kissimmee, FL 34758-2288
Phone
(305) 979-6706
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Arlenis Bompart
Title
Owner
Phone
(305) 979-6706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5334 Coral Vine LN
Kissimmee, FL 34758-2288

Mailing address

5334 Coral Vine LN
Kissimmee, FL 34758-2288
Phone (305) 979-6706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1720717069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 CORAL VINE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582288",
            "telephone_number": "305-979-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 CORAL VINE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582288",
            "telephone_number": "305-979-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS BEHAVIORAL ASSISTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "BOMPART",
        "authorized_official_first_name": "ARLENIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-979-6706"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2022; 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.