NPIMap

Organization Active NPI

Florida Family Support LLC

  • Developmental Disabilities Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1760839898
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
11415726 Issued in FL
Legal business name
FLORIDA FAMILY SUPPORT LLC
Practice address
5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397
Phone
(305) 305-6367
Fax
(561) 423-3105
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Mariana Bechara
Title
Practice Manager
Phone
(305) 305-6367

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Developmental Disabilities Clinic/Center 261QD1600X 11415726 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH14122 FL

Addresses

Primary practice location

5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397

Mailing address

5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397
Phone (305) 305-6367

Other practice location 1

1730 S Federal Hwy
Suite 268
Delray Beach, FL 33483
Phone (305) 305-6367

National Provider Directory

National Provider Directory

Locations

1730 S Federal Hwy
Ste 268
Delray Beach, FL 33483
Phone (305) 305-6367

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1760839898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD STE 208",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734397",
            "telephone_number": "305-305-6367",
            "fax_number": "561-423-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD STE 208",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734397",
            "telephone_number": "305-305-6367",
            "fax_number": "561-423-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 S Federal Hwy",
            "address_2": "Suite 268",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "33483",
            "country_code": "US",
            "telephone_number": "305-305-6367",
            "fax_number": "561-423-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA FAMILY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "BECHARA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "305-305-6367"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "11415726",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MH14122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.