Avenly Bridge Behavioral Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AVENLY BRIDGE BEHAVIORAL THERAPY

Practice address

10031 Pines Blvd Ste 210
Pembroke Pines, FL 33024-6169

Phone

(305) 321-7718

NPI assigned

Sep 15, 2026

Organization subpart

No

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

Authorized official

Name

Belarmino Parra

Title

Owner

Phone

(305) 321-7718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1780595066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11143 NW 78TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331786015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 210",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246169",
            "telephone_number": "305-321-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENLY BRIDGE BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "BELARMINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-321-7718"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.