NPIMap

Organization Active NPI

Behavior Change Therapeutics,Inc

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1750093480
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR CHANGE THERAPEUTICS,INC
Practice address
3401 NW 82ND Ave Ste 105E
Doral, FL 33122-1052
Phone
(786) 620-0830
NPI assigned
Dec 13, 2022
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Mayrelis DelgadoNPI 1780228304
Title
Owner
Phone
(786) 620-0830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3401 NW 82ND Ave Ste 105E
Doral, FL 33122-1052

Mailing address

3401 NW 82ND Ave Ste 105E
Doral, FL 33122-1052
Phone (786) 620-0830

National Provider Directory

National Provider Directory
Tax ID family
Behavior Change Therapeutics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3401 NW 82nd Ave
Ste 105E
Doral, FL 33122
Phone (786) 614-3121

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1750093480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NW 82ND AVE STE 105E",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221052",
            "telephone_number": "786-620-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NW 82ND AVE STE 105E",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221052",
            "telephone_number": "786-620-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE THERAPEUTICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MAYRELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-620-0830"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 17, 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.