Fenix ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FENIX ABA THERAPY LLC

Practice address

4820 W 3Rd Ave
Hialeah, FL 33012-3933

Phone

(786) 867-1418

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Mayte Delgado

Title

Owner

Phone

(786) 867-1418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1902669484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W 3RD AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123933",
            "telephone_number": "786-867-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W 3RD AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123933",
            "telephone_number": "786-867-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MAYTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-867-1418"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roldan Felipe, APRN
• Felix Varela Medical Clinic, Inc
• Felix Viera Medical Inc
• Alexandra Felpeto, PSY.D.
• Femhealth Group LLC
• Fenix Corporation
• Fenix Medical Clinic, Corp.
• Vivian Fennen
• Natalie Fente, APRN
• Marcio Cesar Ferez Sr., MD

• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.