NPIMap

Organization Active NPI

Mdmbehaviortraining Inc

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1730951559
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MDMBEHAVIORTRAINING INC
Practice address
10200 NW 25TH St Ste 201
Doral, FL 33172-5922
Phone
(786) 442-0953
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Marlon DanielNPI 1548611833
Title
Owner
Phone
(786) 442-0953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

10200 NW 25TH St Ste 201
Doral, FL 33172-5922

Mailing address

10200 NW 25TH St Ste 201
Doral, FL 33172-5922
Phone (786) 442-0953

National Provider Directory

National Provider Directory

Locations

10200 NW 25th St
Ste 201
Doral, FL 33172
Phone (305) 406-3689

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1730951559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725922",
            "telephone_number": "786-442-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725922",
            "telephone_number": "786-442-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDMBEHAVIORTRAINING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-442-0953"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.