Organization Active NPI

Trifam Behavior Agency LLC

  • Behavior Analyst
  • Stuart, FL
National Provider Identifier
1851091110
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRIFAM BEHAVIOR AGENCY LLC
Practice address
1320 SE Federal Hwy Ste 212
Stuart, FL 34994-3410
Phone
(772) 249-7218
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Mr. Ricardo Rafael De la Torre
Title
Owner
Phone
(772) 249-7218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1320 SE Federal Hwy Ste 212
Stuart, FL 34994-3410

Mailing address

1320 SE Federal Hwy Ste 212
Stuart, FL 34994-3410
Phone (772) 249-7218

National Provider Directory

National Provider Directory

Locations

1320 SE Federal Hwy
Ste 212
Stuart, FL 34994
Phone (772) 249-7218

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1851091110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY STE 212",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943410",
            "telephone_number": "772-249-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY STE 212",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943410",
            "telephone_number": "772-249-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFAM BEHAVIOR AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-249-7218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.