Active NPI
Prestige Medical Solutions
Doing business as Prestige Behavioral Group
- Behavior Analyst
- Miami, FL
National Provider Identifier
1942667423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PRESTIGE MEDICAL SOLUTIONS
- Doing business as
- Prestige Behavioral Group
- Practice address
- 13701 SW 88TH St Ste 305
Miami, FL 33186-1309 - Phone
- (786) 703-6218
- NPI assigned
- Jan 28, 2016
- 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
- Annie Bouchereau
- Title
- President
- Phone
- (954) 925-3844
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
13701 SW 88TH St Ste 305
Miami, FL 33186-1309
Mailing address
4662 N.W. 107 Avenue #1903
Miami, FL 33178
Phone (786) 703-6218
Other names 1
- Prestige Behavioral Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Doral, FL
- NPI 1952838070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1942667423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4662 N.W. 107 AVENUE #1903",
"city": "MIAMI",
"state": "FL",
"postal_code": "33178",
"telephone_number": "786-703-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 SW 88TH ST STE 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861309",
"telephone_number": "786-703-6218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE MEDICAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-28",
"last_updated": "2022-11-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "BOUCHEREAU",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-925-3844"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prestige Behavioral Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prestige Behavioral Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.