Organization Active NPI

Diverse Family Solution ABA Therapy

  • Community/Behavioral Health Agency
  • Jensen Beach, FL
National Provider Identifier
1821704644
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVERSE FAMILY SOLUTION ABA THERAPY
Practice address
2228 NE 16TH CT
Jensen Beach, FL 34957-5118
Phone
(954) 993-0706
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Kerri A Montanez
Title
Owner
Phone
(954) 993-0706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2228 NE 16TH CT
Jensen Beach, FL 34957-5118

Mailing address

2228 NE 16TH CT
Jensen Beach, FL 34957-5118
Phone (954) 993-0706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1821704644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 NE 16TH CT",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575118",
            "telephone_number": "954-993-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 NE 16TH CT",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575118",
            "telephone_number": "954-993-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE FAMILY SOLUTION ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-0706"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.