Organization Active NPI

Florida Kids Therapy Medley LLC

  • Behavior Analyst
  • Medley, FL
National Provider Identifier
1982394755
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA KIDS THERAPY MEDLEY LLC
Practice address
7911 NW 72D Ave
215B
Medley, FL 33166
Phone
(305) 909-9695
Fax
(561) 770-3394
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Heminia Sierra
Title
President
Phone
(305) 909-9685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7911 NW 72D Ave
215B
Medley, FL 33166

Mailing address

7911 NW 72ND Ave
Suite 215B
Medley, FL 33166-2227
Phone (305) 909-9685

National Provider Directory

National Provider Directory
Tax ID family
Florida Kids Therapy Medley LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7911 NW 72nd Ave
Ste 215B
Medley, FL 33166
Phone (305) 909-9685

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1982394755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "SUITE 215B",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "305-909-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72D AVE",
            "address_2": "215B",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-909-9695",
            "fax_number": "561-770-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDS THERAPY MEDLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "HEMINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-909-9685"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.