Genesis Behavior & Counselor LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GENESIS BEHAVIOR & COUNSELOR LLC

Practice address

4105 SW 98TH Ave
Miami, FL 33165-5130

Phone

(305) 290-0628

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Carmen Martinez

Title

Manager

Phone

(305) 290-0628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1821709486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SW 98TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 SW 98TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655130",
            "telephone_number": "305-290-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIOR & COUNSELOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-290-0628"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genesis Associates Group
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• Genesis Case Management
• Genesis Case Management Services, Corp.
• Genesis Community Mental Health Center Inc
• Genesis Comprehensive Home Health Care Services Inc.
• Genesis Health & Rehab, LLC

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.