Organization Active NPI

Mr Behavioral Services LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1740018365
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MR BEHAVIORAL SERVICES LLC
Practice address
8875 Hidden River Pkwy Ste 338
Tampa, FL 33637-1035
Phone
(973) 342-7852
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Marileidys Rivero
Title
Owner
Phone
(973) 342-7852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8875 Hidden River Pkwy Ste 338
Tampa, FL 33637-1035

Mailing address

8875 Hidden River Pkwy Ste 338
Tampa, FL 33637-1035

National Provider Directory

National Provider Directory
Tax ID family
Mr Behavioral Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8875 Hidden River Pkwy
Ste 338
Tampa, FL 33637
Phone (973) 342-7852

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1740018365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 338",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 338",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371035",
            "telephone_number": "973-342-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "MARILEIDYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-342-7852"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.