NPIMap

Organization Active NPI

Social Diversity LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1821705153
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SOCIAL DIVERSITY LLC
Practice address
12001 SW 128TH CT Ste 101
Miami, FL 33186-4665
Phone
(786) 975-7485
Fax
(954) 860-7166
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Esel Aguilar, CBHCMS
Title
Ceo
Phone
(786) 975-7485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12001 SW 128TH CT Ste 101
Miami, FL 33186-4665

Mailing address

382 NE 19TH Ave
Homestead, FL 33033-5265
Phone (786) 975-7485

Other names 1

  • ABA SUNISS UP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Social Diversity LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1821705153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 19TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335265",
            "telephone_number": "786-975-7485",
            "fax_number": "954-860-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "786-975-7485",
            "fax_number": "954-860-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL DIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ESEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-975-7485",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA SUNISS UP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA SUNISS UP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 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.