Organization Active NPI

D&D Rehab Center, Inc

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1942976220
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Aug 18, 2021

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
017431900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
D D Rehab Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.