Active NPI
Diverse Family Solution ABA Therapy
- Community/Behavioral Health Agency
- Jensen Beach, FL
National Provider Identifier
1821704644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.