Active NPI
D&D Rehab Center, Inc
- Behavior Analyst
- Hialeah, FL
National Provider Identifier
1942976220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- D&D REHAB CENTER, INC
- Practice address
- 3412 W 84TH St Ste 106
Hialeah, FL 33018-4938 - Phone
- (786) 602-0904
- NPI assigned
- Aug 18, 2021
- 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
- Luis A. Yance
- Title
- Director
- Phone
- (305) 827-7344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3412 W 84TH St Ste 106
Hialeah, FL 33018-4938
Mailing address
3412 W 84TH St Ste 106
Hialeah, FL 33018-4938
Phone (786) 602-0904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017431900 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- D D Rehab Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Hialeah, FL
- NPI 1396146692
-
- Clinic/Center
- Lauderhill, FL
- NPI 1437802196
Locations
3412 W 84th St
Ste 106
Hialeah, FL 33018
Phone (305) 827-7344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1942976220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 W 84TH ST STE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184938",
"telephone_number": "786-602-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 W 84TH ST STE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184938",
"telephone_number": "786-602-0904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D&D REHAB CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "YANCE",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "305-827-7344"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017431900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.