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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Miramar, FL
- NPI 1285867895
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.