Active NPI
Talika Nicole Theard
- Behavior Analyst
- Doral, FL
National Provider Identifier
1821427014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47666
- Practice address
- 8200 NW 41St St Ste 200
Doral, FL 33166-6204 - Phone
- (786) 779-4498
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001957 | VA | |
| Behavior Analyst | 103K00000X | GA | ||
| Specialist | 174400000X | 1250685 | NY | |
| Behavior Analyst | 103K00000X | 1-21-47666 | FL | Primary |
Addresses
Primary practice location
8200 NW 41St St Ste 200
Doral, FL 33166-6204
Mailing address
4530 NW 67TH Ter
Lauderhill, FL 33319-4034
Phone (917) 342-2793
Other practice location 1
4530 NW 67th Ter
Lauderhill, FL 33319-4034
Phone (917) 342-2793
Other names 1
- Ms. Talika Nicole Andrews
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001957 | VA | MD | Behavioral Analyst |
| 1250685 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amaze Virginia LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Hampton, VA
- NPI 1336921063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743292800000",
"number": "1821427014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 NW 67TH TER",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333194034",
"telephone_number": "917-342-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 NW 41ST ST STE 200",
"city": "DORAL",
"state": "FL",
"postal_code": "331666204",
"telephone_number": "786-779-4498"
}
],
"practiceLocations": [
{
"address_1": "4530 NW 67th Ter",
"address_purpose": "LOCATION",
"city": "Lauderhill",
"state": "FL",
"postal_code": "333194034",
"country_code": "US",
"telephone_number": "917-342-2793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEARD",
"first_name": "TALIKA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2025-03-30",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001957",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1250685",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-47666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TALIKA",
"last_name": "ANDREWS",
"middle_name": "NICOLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.