NPIMap

Organization Active NPI

Minds in Motion ABA Therapy Center LLC

  • Behavior Analyst
  • Boca Raton, FL
National Provider Identifier
1780215665
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MINDS IN MOTION ABA THERAPY CENTER LLC
Practice address
9070 Kimberly Blvd Ste 19-20
Boca Raton, FL 33434-2855
Phone
(954) 988-0918
Fax
(954) 827-7625
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Suzanne Diaz
Title
Owner
Phone
(917) 763-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9070 Kimberly Blvd Ste 19-20
Boca Raton, FL 33434-2855

Mailing address

9070 Kimberly Blvd Ste 19-20
Boca Raton, FL 33434-2855
Phone (954) 988-0918

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 1920
Boca Raton, FL 33434
Phone (954) 988-0918

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1780215665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 19-20",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "954-988-0918",
            "fax_number": "954-827-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 19-20",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "954-988-0918",
            "fax_number": "954-827-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS IN MOTION ABA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-763-0885"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.