NPIMap

Organization Active NPI

Professional Behavior Analysis Inc

  • Behavior Analyst
  • Plant City, FL
National Provider Identifier
1760067086
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROFESSIONAL BEHAVIOR ANALYSIS INC
Practice address
504 E Baker St Ste 1
Plant City, FL 33563-3558
Phone
(813) 704-6297
Fax
(813) 200-1271
NPI assigned
Mar 17, 2021
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Luisa Maria Hernandez LopezNPI 1649789157
Title
President
Phone
(305) 764-0561

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 Analyst 103K00000X Primary

Addresses

Primary practice location

504 E Baker St Ste 1
Plant City, FL 33563-3558

Mailing address

504 E Baker St Ste 1
Plant City, FL 33563-3558
Phone (813) 704-6297

National Provider Directory

National Provider Directory

Locations

504 E Baker St
Ste 1
Plant City, FL 33563
Phone (813) 704-6297

6105 Memorial Hwy
Ste A7
Tampa, FL 33615
Phone (786) 442-6916

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1760067086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E BAKER ST STE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633558",
            "telephone_number": "813-704-6297",
            "fax_number": "813-200-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E BAKER ST STE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633558",
            "telephone_number": "813-704-6297",
            "fax_number": "813-200-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL BEHAVIOR ANALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ LOPEZ",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-764-0561"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.