Mi Luz Behavioral Wellness Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MI LUZ BEHAVIORAL WELLNESS INC

Practice address

12241 SW 114TH Ter
Miami, FL 33186-5003

Phone

(305) 431-6782

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Luz BolivarNPI 1619535549

Title

President

Phone

(305) 431-6782

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luz Bolivar

  • Behavior Analyst
  • Miami, FL
  • NPI 1619535549
  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1720807035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 SW 114TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 SW 114TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865003",
            "telephone_number": "305-431-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI LUZ BEHAVIORAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BOLIVAR",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-431-6782"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.