Organization Active NPI

Innerconnections Developmental Specialists Inc.

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1891249678
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNERCONNECTIONS DEVELOPMENTAL SPECIALISTS INC.
Practice address
255 Giralda Ave Ste 6-113
Coral Gables, FL 33134-5002
Phone
(786) 310-2352
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Ms. Christian Mendez, MS, BCBANPI 1407149305
Title
President, Clinical Director
Phone
(786) 310-2352

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

255 Giralda Ave Ste 6-113
Coral Gables, FL 33134-5002

Mailing address

240 NW 25TH St Apt 417
Miami, FL 33127-4347
Phone (786) 457-5665

National Provider Directory

National Provider Directory

Locations

2222 Ponce de Leon Blvd
Ste 6107
Coral Gables, FL 33134
Phone (786) 310-2352

255 Giralda Ave
Ste 6113
Coral Gables, FL 33134
Phone (786) 310-2352

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": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1891249678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST APT 417",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274347",
            "telephone_number": "786-457-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GIRALDA AVE STE 6-113",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345002",
            "telephone_number": "786-310-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCONNECTIONS DEVELOPMENTAL SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-310-2352",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA"
    },
    "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 Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.