Organization Active NPI

1St Jpa Behavior Management Clinic Inc

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1871264093
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
Practice address
19001 SW 106TH Ave # C103
Cutler Bay, FL 33157-7669
Phone
(786) 523-2352
Fax
(786) 431-4078
NPI assigned
Sep 27, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amarilys PerezNPI 1396271623
Title
President
Phone
(786) 523-2352

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

Practitioners 3

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

National Provider Directory

National Provider Directory
Tax ID family
1St Jpa Behavior Management Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19001 SW 106th Ave
#C103
Cutler Bay, FL 33157
Phone (786) 227-5000

19001 SW 106th Ave
Ste C103
Cutler Bay, FL 33157
Phone (786) 227-5000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

19001 SW 106TH Ave # C103
Cutler Bay, FL 33157-7669

Mailing address

19001 SW 106TH Ave # C103
Cutler Bay, FL 33157-7669
Phone (786) 523-2352

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
018511200MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2021.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1871264093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE # C103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "786-523-2352",
            "fax_number": "786-431-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE # C103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "786-523-2352",
            "fax_number": "786-431-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST JPA BEHAVIOR MANAGEMENT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-523-2352"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018511200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.