Mindgarden Therapy Center Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MINDGARDEN THERAPY CENTER CORP

Practice address

15250 Durnford Dr
Miami Lakes, FL 33014-2328

Phone

(786) 717-8011

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Danay BencomoNPI 1356798961

Title

President

Phone

(786) 717-8011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danay Bencomo, NO

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1356798961
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1962900167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 50TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123413",
            "telephone_number": "786-717-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15250 DURNFORD DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142328",
            "telephone_number": "786-717-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDGARDEN THERAPY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BENCOMO",
        "authorized_official_first_name": "DANAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-717-8011"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.