Organization Active NPI

Hopeful Rebirth Behavioral Agency LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1922863299
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOPEFUL REBIRTH BEHAVIORAL AGENCY LLC
Practice address
6300 Corporate CT Ste 102
Fort Myers, FL 33919-3513
Phone
(786) 281-1070
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ms. Soraya Fernandez, LMHCNPI 1437454394
Title
Ceo
Phone
(786) 281-1070

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 SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6300 Corporate CT Ste 102
Fort Myers, FL 33919-3513

Mailing address

2426 W 74TH St
Hialeah, FL 33016-6512
Phone (786) 281-1070

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1922863299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 74TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166512",
            "telephone_number": "786-281-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193513",
            "telephone_number": "786-281-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEFUL REBIRTH BEHAVIORAL AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "SORAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-281-1070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "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 Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.