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THERAPEUTIC REBIRTH CORPORATION NPI 1619497609


NPI Information

NPI: 1619497609
Provider Name: THERAPEUTIC REBIRTH CORPORATION
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
4310 SW 164TH CT
MIAMI, FL
ZIP 33185
Phone: (305) 905-0631
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THERAPEUTIC REBIRTH CORPORATION is a behavior analyst in Miami, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. THERAPEUTIC REBIRTH CORPORATION NPI is 1619497609. The provider is registered as an organization entity type.

The provider's business location address is:

4310 SW 164TH CT
MIAMI, FL
ZIP 33185-293
Phone: (305) 905-0631

The provider's authorized official is Eduardo Alvarez .
The authorized official title is President and has the following contact phone number (305) 905-0631.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesMH7550FLORIDANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MH7550FLORIDANo
3103K00000XBehavior AnalystMH7550FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017436200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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