Organization Active NPI

Connection - Transdisciplinary Therapeutic Support Center, LLC

  • Behavior Analyst
  • Deerfield Beach, FL
National Provider Identifier
1912792862
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CONNECTION - TRANSDISCIPLINARY THERAPEUTIC SUPPORT CENTER, LLC
Practice address
1191 E Newport Center Dr Ste 103
Deerfield Beach, FL 33442-7736
Phone
(954) 644-0682
Fax
(754) 333-4768
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Mr. Andre De Paiva Coelho Sophia
Title
Manager / Owner
Phone
(954) 253-6455

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary
Mental Health Occupational Therapist 225XM0800X NU
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1191 E Newport Center Dr Ste 103
Deerfield Beach, FL 33442-7736

Mailing address

1191 E Newport Center Dr Ste 103
Deerfield Beach, FL 33442-7736
Phone (954) 644-0682

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1912792862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E NEWPORT CENTER DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427736",
            "telephone_number": "954-644-0682",
            "fax_number": "754-333-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E NEWPORT CENTER DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427736",
            "telephone_number": "954-644-0682",
            "fax_number": "754-333-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION - TRANSDISCIPLINARY THERAPEUTIC SUPPORT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "SOPHIA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "DE PAIVA COELHO",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "954-253-6455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.