Organization Active NPI

Otb Behavior LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1770366106
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OTB BEHAVIOR LLC
Practice address
12039 SW 132ND CT Unit 28-2
Miami, FL 33186-4785
Phone
(305) 853-6453
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Monica Vega
Title
Ceo
Phone
(305) 853-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12039 SW 132ND CT Unit 28-2
Miami, FL 33186-4785

Mailing address

12039 SW 132ND CT Unit 28-2
Miami, FL 33186-4785
Phone (305) 853-6453

National Provider Directory

National Provider Directory

Locations

12039 SW 132nd Ct
Unit 282
Miami, FL 33186
Phone (305) 252-6783

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1770366106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT UNIT 28-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864785",
            "telephone_number": "305-853-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT UNIT 28-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864785",
            "telephone_number": "305-853-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTB BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-853-6453"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Aug 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.