Active NPI
Coral Injury Center Inc
- Behavior Analyst
- West Palm Beach, FL
National Provider Identifier
1912671652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CORAL INJURY CENTER INC
- Practice address
- 1490 S Military TRL Ste 7
West Palm Beach, FL 33415-9141 - Phone
- (561) 323-2552
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beatriz Rodriguez
- Title
- Office Manager
- Phone
- (561) 323-2552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1490 S Military TRL Ste 7
West Palm Beach, FL 33415-9141
Mailing address
1490 S Military TRL Ste 8
West Palm Beach, FL 33415-9141
Phone (561) 679-0512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108796800 | Medicaid | FL |
Other names 1
- CORAL BEHAVIORAL SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- Coral Behavioral Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Palm Beach, FL
- NPI 1881367621
Locations
1490 S Military Trl
Ste 8
West Palm Beach, FL 33415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1912671652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 S MILITARY TRL STE 8",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334159141",
"telephone_number": "561-679-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 S MILITARY TRL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334159141",
"telephone_number": "561-323-2552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL INJURY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "BEATRIZ",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-323-2552"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108796800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CORAL BEHAVIORAL SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CORAL BEHAVIORAL SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.