Organization Active NPI

Smart Behavioral Health Corp

  • Behavior Analyst
  • Longwood, FL
National Provider Identifier
1780552448
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SMART BEHAVIORAL HEALTH CORP
Practice address
1640 Highland Dr
Longwood, FL 32750-4534
Phone
(305) 298-2123
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Nestor Fonseca
Title
Administrator
Phone
(305) 298-2123

Specialties & licenses 1

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

Addresses

Primary practice location

1640 Highland Dr
Longwood, FL 32750-4534

Mailing address

1640 Highland Dr
Longwood, FL 32750-4534
Phone (386) 400-2326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1780552448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HIGHLAND DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504534",
            "telephone_number": "386-400-2326",
            "fax_number": "286-401-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HIGHLAND DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504534",
            "telephone_number": "305-298-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART BEHAVIORAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-298-2123"
    },
    "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 Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.