Active NPI
ABA Premier Master LLC
- Behavior Analyst
- Miami, FL
National Provider Identifier
1821709916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ABA PREMIER MASTER LLC
- Practice address
- 85 Grand Canal Dr Ste 209
Miami, FL 33144-2575 - Phone
- (786) 536-0117
- NPI assigned
- Dec 8, 2022
- 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
- Dunia Benitez Gonzalez, OWNER
- Title
- MGR
- Phone
- (786) 536-0117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
85 Grand Canal Dr Ste 209
Miami, FL 33144-2575
Mailing address
85 Grand Canal Dr Ste 209
Miami, FL 33144-2575
Phone (786) 536-0117
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1821709916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR STE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442575",
"telephone_number": "786-536-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR STE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442575",
"telephone_number": "786-536-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA PREMIER MASTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "BENITEZ GONZALEZ",
"authorized_official_first_name": "DUNIA",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "786-536-0117",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 8, 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.