Organization Active NPI

Freedom Kids Academy

  • Behavior Analyst
  • Seminole, FL
National Provider Identifier
1942972088
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FREEDOM KIDS ACADEMY
Practice address
5666 Seminole Blvd Ste 106
Seminole, FL 33772-7328
Phone
(239) 201-9338
Fax
(561) 516-7710
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Ezequiel ValdesNPI 1710575790
Title
Owner Administrator
Phone
(813) 850-2197

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

5666 Seminole Blvd Ste 106
Seminole, FL 33772-7328

Mailing address

5666 Seminole Blvd Ste 106
Seminole, FL 33772-7328
Phone (239) 201-9338

Other practice location 1

9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628
Phone (561) 826-3207

National Provider Directory

National Provider Directory
Tax ID family
Freedom Kids Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5666 Seminole Blvd
Ste 106
Seminole, FL 33772
Phone (239) 201-9338

Practitioners & affiliated clinicians

Practitioners 6

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1942972088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 SEMINOLE BLVD STE 106",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727328",
            "telephone_number": "239-201-9338",
            "fax_number": "561-516-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 SEMINOLE BLVD STE 106",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727328",
            "telephone_number": "239-201-9338",
            "fax_number": "561-516-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 Marina Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334286628",
            "country_code": "US",
            "telephone_number": "561-826-3207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM KIDS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "813-850-2197"
    },
    "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 Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.