Organization Active NPI

Synergy Behavioral Center LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1922722206
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SYNERGY BEHAVIORAL CENTER LLC
Practice address
5448 Hoffner Ave Ste 301
Orlando, FL 32812-2508
Phone
(407) 655-5230
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Lazaro Carret
Title
Owner
Phone
(407) 655-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5448 Hoffner Ave Ste 301
Orlando, FL 32812-2508

Mailing address

5448 Hoffner Ave Ste 301
Orlando, FL 32812-2508

National Provider Directory

National Provider Directory

Locations

5448 Hoffner Ave
Ste 301
Orlando, FL 32812
Phone (407) 655-5230

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1922722206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122508",
            "telephone_number": "407-655-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "CARRET",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-655-5230"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.