NPIMap

Organization Active NPI

Imaginary World, LLC

  • Behavior Analyst
  • Naples, FL
National Provider Identifier
1912594078
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IMAGINARY WORLD, LLC
Practice address
2977 Goodlette-Frank Rd N Ste 14
Naples, FL 34103-4613
Phone
(786) 468-1087
NPI assigned
Dec 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Martha Hernandez, BCBANPI 1871141069
Title
Bcba
Phone
(786) 468-1087

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2977 Goodlette-Frank Rd N Ste 14
Naples, FL 34103-4613

Mailing address

2977 Goodlette-Frank Rd N Ste 14
Naples, FL 34103-4613
Phone (786) 468-1087

Other practice location 1

2722 W Tampa Bay Blvd
Tampa, FL 33607-6816
Phone (786) 468-1087

Other practice location 2

15900 SW 197th Ave
Miami, FL 33187-1108
Phone (786) 468-1087

National Provider Directory

National Provider Directory

Locations

2722 W Tampa Bay Blvd
Tampa, FL 33607
Phone (786) 468-1087

Practitioners & affiliated clinicians

Practitioners 2

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": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1912594078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 GOODLETTE-FRANK RD N STE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034613",
            "telephone_number": "786-468-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 GOODLETTE-FRANK RD N STE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034613",
            "telephone_number": "786-468-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 W Tampa Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076816",
            "country_code": "US",
            "telephone_number": "786-468-1087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15900 SW 197th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331871108",
            "country_code": "US",
            "telephone_number": "786-468-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMAGINARY WORLD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "786-468-1087",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.