Dragonfly Behavioral Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DRAGONFLY BEHAVIORAL THERAPY INC

Practice address

5725 Corporate Way Ste 207
West Palm Beach, FL 33407-2035

Phone

(561) 309-9767

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Ana Reyes

Title

Owner

Phone

(561) 309-9767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1881260248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 CORPORATE WAY STE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072035",
            "telephone_number": "561-309-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 CORPORATE WAY STE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072035",
            "telephone_number": "561-309-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY BEHAVIORAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-309-9767"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.