Larrua Behavior Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LARRUA BEHAVIOR SERVICES LLC

Practice address

8600 NW South River Dr Ste 217
Medley, FL 33166-7405

Phone

(786) 857-4929

NPI assigned

Nov 11, 2022

Organization subpart

No

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

Authorized official

Name

Fernando Larrua

Title

President

Phone

(786) 857-4929

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Fernando Oscar Larrua Gonzalez

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1760989651
  NPD
• Katia Amador Rivera

  • Behavior Technician
  • North Miami Beach, FL
  • NPI 1144064163
  NPD (past)
• Yoanys Medina

  • Behavior Technician
  • Hialeah, FL
  • NPI 1275316945
  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1831807494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E 32ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133433",
            "telephone_number": "786-857-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 NW SOUTH RIVER DR STE 217",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667405",
            "telephone_number": "786-857-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRUA BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LARRUA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-857-4929"
    },
    "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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• All providers in Medley, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.