Open Door Behavioral Services Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

OPEN DOOR BEHAVIORAL SERVICES INC

Practice address

650 NE 22ND Ter Ste 202-9
Homestead, FL 33033-4709

Phone

(786) 921-4862

NPI assigned

May 18, 2024

Organization subpart

No

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

Authorized official

Name

David Fernandez

Title

President

Phone

(786) 921-4862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1891544094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NE 22ND TER STE 202-9",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334709",
            "telephone_number": "786-921-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NE 22ND TER STE 202-9",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334709",
            "telephone_number": "786-921-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-921-4862"
    },
    "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 Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.