Organization Active NPI

Isa Behavioral Group LLC

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1871328047
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ISA BEHAVIORAL GROUP LLC
Practice address
18710 SW 107TH Ave Unit 16
Cutler Bay, FL 33157-6774
Phone
(786) 344-6224
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Wilfredo RuizNPI 1023733094
Title
President
Phone
(786) 344-6224

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

18710 SW 107TH Ave Unit 16
Cutler Bay, FL 33157-6774

Mailing address

18710 SW 107TH Ave Unit 16
Cutler Bay, FL 33157-6774
Phone (786) 344-6224

National Provider Directory

National Provider Directory

Locations

18710 SW 107th Ave
Unit 16
Cutler Bay, FL 33157
Phone (786) 344-6224

Practitioners & affiliated clinicians

Practitioners 1

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1871328047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 SW 107TH AVE UNIT 16",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576774",
            "telephone_number": "786-344-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 SW 107TH AVE UNIT 16",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576774",
            "telephone_number": "786-344-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA BEHAVIORAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-344-6224"
    },
    "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 Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.