Advanceaba Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15955 Issued in CA

Legal business name

ADVANCEABA INC.

Practice address

6504 SW 166TH CT
Miami, FL 33193-5624

Phone

(786) 553-0437

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yendri Diaz, B.C.B.A.

Title

President

Phone

(786) 553-0437

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1750731808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935624",
            "telephone_number": "786-553-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935624",
            "telephone_number": "786-553-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEABA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YENDRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-553-0437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15955",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-06-2787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.