Individual provider Active NPI

Celia Santos Gallego

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1760042139
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-70262 Issued in FL
Practice address
14240 SW 47TH St
Miami, FL 33175-4320
Phone
(786) 972-2521
NPI assigned
Jun 18, 2019
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-70262 FL Primary

Addresses

Primary practice location

14240 SW 47TH St
Miami, FL 33175-4320

Mailing address

14240 SW 47TH St
Miami, FL 33175-4320

Other practice location 1

14240 SW 47th St
Miami, FL 33175-4320
Phone (786) 234-4979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Behavioral Health Inc Behavior Analyst Current Accepting new patients
Blooming Behavioral Health Inc Current Accepting new patients

Locations

3600 S State Road 7
Ste 344
Miramar, FL 33023
Phone (754) 799-3780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1760042139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754320",
            "telephone_number": "786-972-2521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14240 SW 47th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331754320",
            "country_code": "US",
            "telephone_number": "786-234-4979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS GALLEGO",
        "first_name": "CELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-70262",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 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.