Organization Active NPI

Coral Springs Behavioral Services LLC

  • Behavior Analyst
  • Coral Springs, FL
National Provider Identifier
1871312249
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CORAL SPRINGS BEHAVIORAL SERVICES LLC
Practice address
5850 Coral Ridge Dr Ste 203
Coral Springs, FL 33076-3379
Phone
(786) 389-4391
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Andrian Fernandez Cabalo
Title
Ceo
Phone
(786) 397-1806

Specialties & licenses 1

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

Addresses

Primary practice location

5850 Coral Ridge Dr Ste 203
Coral Springs, FL 33076-3379

Mailing address

5850 Coral Ridge Dr Ste 203
Coral Springs, FL 33076-3379

National Provider Directory

National Provider Directory

Locations

5850 Coral Ridge Dr
Ste 203
Coral Springs, FL 33076
Phone (786) 389-4391

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1871312249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "786-389-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ CABALO",
        "authorized_official_first_name": "ANDRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-397-1806"
    },
    "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 Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.