Neurobehavorial Alliance LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEUROBEHAVORIAL ALLIANCE LLC

Practice address

11555 Heron Bay Blvd Ste 200
Coral Springs, FL 33076-3362

Phone

(954) 603-0480

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marian Rosado

Title

Pwner

Phone

(203) 671-9950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1952969081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 NW 10TH TER STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095937",
            "telephone_number": "954-603-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD STE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763362",
            "telephone_number": "954-603-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVORIAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PWNER",
        "authorized_official_telephone_number": "203-671-9950"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.