NPIMap

Organization Active NPI

Behavioral Therapy Abc, LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1740702109
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L17000128277 Issued in FL
Legal business name
BEHAVIORAL THERAPY ABC, LLC
Practice address
13301 SW 132ND Ave Unit 209
Miami, FL 33186-6190
Phone
(786) 713-5553
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ismaray Fernandez Suarez, MSNPI 1063769198
Title
Owner/Administrator
Phone
(786) 713-5553

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X L17000128277 FL Primary

Addresses

Primary practice location

13301 SW 132ND Ave Unit 209
Miami, FL 33186-6190

Mailing address

13301 SW 132ND Ave
Miami, FL 33186-6188
Phone (786) 713-5553

Other identifiers 1

IdentifierTypeStateIssuer
1063769198MedicaidFL

National Provider Directory

National Provider Directory

Locations

13301 SW 132nd Ave
Unit 209
Miami, FL 33186
Phone (786) 301-2546

13301 SW 132nd Ave
Miami, FL 33186
Phone (786) 713-5553

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1740702109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866188",
            "telephone_number": "786-713-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 SW 132ND AVE UNIT 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866190",
            "telephone_number": "786-713-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL THERAPY ABC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ SUAREZ",
        "authorized_official_first_name": "ISMARAY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-713-5553",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "L17000128277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063769198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.