Ibc Therapy Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

IBC THERAPY CENTER LLC

Practice address

1985 NW 88TH CT Ste 201
Doral, FL 33172-2638

Phone

(305) 318-4757

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Ivis M HernandezNPI 1346791043

Title

Cfo

Phone

(305) 318-4757

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.

• Ivis Hernandez

  • Behavior Technician
  • Miami, FL
  • NPI 1346791043
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1730899162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 NW 88TH CT STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722638",
            "telephone_number": "305-318-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 NW 88TH CT STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722638",
            "telephone_number": "305-318-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBC THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "IVIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-318-4757"
    },
    "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 Doral, FL
• Providers in Doral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.