NPIMap

Organization Active NPI

Abc Children Behavior LLC

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1831781715
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABC CHILDREN BEHAVIOR LLC
Practice address
530 SE 11TH CT
Cape Coral, FL 33990-2682
Phone
(786) 867-0060
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Lissette Gomez FernandezNPI 1194260463
Title
President
Phone
(786) 867-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

530 SE 11TH CT
Cape Coral, FL 33990-2682

Mailing address

530 SE 11TH CT
Cape Coral, FL 33990-2682
Phone (786) 867-0060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1831781715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SE 11TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902682",
            "telephone_number": "786-867-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SE 11TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902682",
            "telephone_number": "786-867-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC CHILDREN BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ  FERNANDEZ",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-867-0060"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.