Organization Active NPI

Ebenezer Behavior Center LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1962189035
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EBENEZER BEHAVIOR CENTER LLC
Practice address
11401 SW 40TH St Ste 326
Miami, FL 33165-3300
Phone
(786) 720-8472
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Yessika Boada HungNPI 1154955763
Title
MGR
Phone
(786) 720-8472

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11401 SW 40TH St Ste 326
Miami, FL 33165-3300

Mailing address

14361 SW 71St LN
Miami, FL 33183-2136
Phone (786) 720-8472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1962189035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 SW 71ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832136",
            "telephone_number": "786-720-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 SW 40TH ST STE 326",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653300",
            "telephone_number": "786-720-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER BEHAVIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "BOADA HUNG",
        "authorized_official_first_name": "YESSIKA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-720-8472"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 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.