Individual provider Active NPI

Anylec Suarez

  • Assistant Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1770968901
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-17-7622 Issued in FL
Practice address
17773 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone
(954) 589-2347
Fax
(954) 301-2246
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL
Assistant Behavior Analyst 106E00000X 0-17-7622 FL Primary

Addresses

Primary practice location

17773 SW 2ND St
Pembroke Pines, FL 33029-3924

Mailing address

2521 NW 140TH St
Opa Locka, FL 33054-4062
Phone (786) 314-4063

Other practice location 1

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Phone (305) 807-1909

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
Evolving Minds Together LLC CurrentSince Nov 5, 2023 Accepting new patients
A New Beginning Behavioral Services, Inc Behavior Analyst Past Accepting new patients
Progressive Behavioral Science Behavior Analyst PastSince Apr 1, 2022 Accepting new patients

Locations

17773 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 589-2347

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1770968901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 NW 140TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330544062",
            "telephone_number": "786-314-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17773 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-589-2347",
            "fax_number": "954-301-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Oaks Way Apt 904",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330695387",
            "country_code": "US",
            "telephone_number": "305-807-1909",
            "fax_number": "305-397-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ANYLEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-7622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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