THERAPEUTIC REBIRTH CORPORATION (NPI# 1619497609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619497609 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC REBIRTH CORPORATION |
| Practice Address |
4310 Sw 164th Ct Miami FL 33185-5293 |
| Practice Telephone | (305) 905-0631 |
| Mailing Telephone | 3059050631 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | MR. EDUARDO ALVAREZ (PRESIDENT) |
| Authorized Official Telephone | 3059050631 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
MH7550 | FL | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH7550 | FL | Ambulatory Health Care Facilities |
| Y | 103K00000X | Behavioral Analyst | MH7550 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017436200 | 05 |
| Street Address |
4310 SW 164TH CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33185-5293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821493214 | Eduardo Alvarez | Counselor | 4310 Sw 164th Ct, Miami, FL 33185-5293 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155705 | Yadisne Barrera | Behavior Technician | 15000 Sw 42 Terra, Miami, FL 33185 | 2020-08-18 |
| 1619515525 | Dairelys Mejia | Behavior Technician | 16636 Sw 47 Terra, Miami, FL 33185 | 2019-12-11 |
| 1750868535 | Abuelas Retirement Home, Inc. | Assisted Living Facility | 4257 Sw 154th Ct, Miami, FL 33185 | 2018-07-24 |
| 1831683812 | Rosa Yanet Manzano | Nurse Practitioner | 15549 Sw 32 Terrace, Miami, FL 33185 | 2018-06-21 |
| 1124518527 | Odalis Aragon | Behavior Technician | 3090 Sw 149th Ave, Miami, FL 33185 | 2018-05-11 |
| 1649777269 | Dairy Torres | Behavior Technician | 4411 Sw 163rd Psge, Miami, FL 33185 | 2018-04-10 |
| 1629572912 | Pedro Jose Molina | Nurse Practitioner | 3481 Sw 152 Pl, Miami, FL 33185 | 2018-03-21 |
| 1043720519 | Elibel Barbara Atala | Behavior Technician | 15356 Sw 43rd Ter, Miami, FL 33185 | 2017-10-10 |
| 1346768314 | Ilineis Gonzalez | Behavioral Analyst | 14932 Sw 30th Ter, Miami, FL 33185 | 2017-08-30 |
| 1306371414 | Casa Del Sol Adult Day Care, LLC | Clinic/Center | 14770 Sw 26th Street, Suite 102-103, Miami, FL 33185 | 2017-04-26 |
| Find all providers in zip 33185 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
| 1497355663 | Shirley Martinez | Behavioral Analyst | 15640 Sw 58th Ter, Miami, FL 33193-2818 | 2020-10-27 |
| 1730789934 | Advanced Behavior Therapy LLC | Behavioral Analyst | 16201 Sw 95th Ave Ste 311, Miami, FL 33157-3401 | 2020-10-27 |
| 1730788258 | Nnr Therapy Center Inc | Behavioral Analyst | 5201 Blue Lagoon Dr Fl 8, Miami, FL 33126-7050 | 2020-10-26 |
| 1003415274 | Yunit Juantorena Alen | Behavioral Analyst | 15668 Sw 10th Ln, Miami, FL 33194-2755 | 2020-10-20 |
| 1154929966 | Romy Fuentes De Leon | Behavioral Analyst | 3343 Sw 90th Ave, Miami, FL 33165-4254 | 2020-10-14 |
| 1366049710 | Haydeelis Hernandez | Behavioral Analyst | 12240 Sw 128th Ct Ste 110, Miami, FL 33186-4782 | 2020-10-07 |
| 1326645243 | Carla Estrada | Behavioral Analyst | 1610 Nw North River Dr Apt 201, Miami, FL 33125-2648 | 2020-10-04 |
| 1376150250 | Kirenia Cabo | Behavioral Analyst | 5011 Nw 4th Ter, Miami, FL 33126-5111 | 2020-09-25 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.