Organization Active NPI

Prime Behavioral Care

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1790471555
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRIME BEHAVIORAL CARE
Practice address
15160 SW 136TH St Unit 4
Miami, FL 33196-2663
Phone
(786) 359-3907
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Ledian RodriguezNPI 1003690793
Title
Owner
Phone
(786) 359-3907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

15160 SW 136TH St Unit 4
Miami, FL 33196-2663

Mailing address

10122 SW 223Rd Ter
Cutler Bay, FL 33190-1569
Phone (786) 359-3907

National Provider Directory

National Provider Directory

Locations

15160 SW 136th St
Unit 4
Miami, FL 33196
Phone (786) 359-3907

Practitioners & affiliated clinicians

Practitioners 1

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": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1790471555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 SW 223RD TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901569",
            "telephone_number": "786-359-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 SW 136TH ST UNIT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962663",
            "telephone_number": "786-359-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LEDIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-359-3907"
    },
    "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 Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.