NPIMap

Organization Active NPI

Ideal Behavioral Services, Inc.

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1982157558
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IDEAL BEHAVIORAL SERVICES, INC.
Practice address
6510 SW 31St St
Miramar, FL 33023-3830
Phone
(954) 682-7640
Fax
(954) 893-9486
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Noel Crooks, BCBA-DNPI 1952854523
Title
President
Phone
(954) 682-7640

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6510 SW 31St St
Miramar, FL 33023-3830

Mailing address

6510 SW 31St St
Miramar, FL 33023-3830
Phone (954) 682-7640

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": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1982157558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 SW 31ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233830",
            "telephone_number": "954-682-7640",
            "fax_number": "954-893-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 SW 31ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233830",
            "telephone_number": "954-682-7640",
            "fax_number": "954-893-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-682-7640",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.