THE SHAPING ACADEMY FOR BEHAVIORAL DEVELOPMENT (NPI# 1710157052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710157052 |
| Entity Type | Organization |
| Organization Name | THE SHAPING ACADEMY FOR BEHAVIORAL DEVELOPMENT |
| Practice Address |
12930 Sw 128th St Suite 204a1 Miami FL 33186-6038 |
| Practice Telephone | 3055624683 |
| Practice Fax Number | 8665173411 |
| Mailing Telephone | 3055624683 |
| Mailing Fax Number | 8665173411 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | MS. YANIVIS GONZALEZ (CEO) |
| Authorized Official Telephone | 3055624683 |
| Authorized Official Credential | BCBA, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1-12-10380 | FL | Agencies |
| Y | 251S00000X | Community/Behavioral Health | MH 11547 | FL | Agencies |
| Street Address |
12930 SW 128TH ST SUITE 204A1 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881041234 | Daily Valdes | Student in an Organized Health Care Education/Training Program | 12930 Sw 128th St, Miami, FL 33186-6038 | 2016-05-16 |
| 1619342946 | Karen Sepulveda | Student in an Organized Health Care Education/Training Program | 12930 Sw 128th St, Miami, FL 33186-6038 | 2015-12-11 |
| 1063758225 | Katherine Gomez | Student in an Organized Health Care Education/Training Program | 12930 Sw 128th St, Suit 204a1, Miami, FL 33186 | 2012-12-17 |
| 1104111640 | Yanivis Machado-gonzalez | Counselor | 12930 Sw 128th St, Suite 204a1, Miami, FL 33186-6038 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1073112603 | San Miguel Community Wellness Center LLC | Community/Behavioral Health | 12030 Sw 129th Ct Ste 206, Miami, FL 33186-4584 | 2020-10-24 |
| 1285233940 | Torna Medical Center Inc | Community/Behavioral Health | 7910 Nw 25th St Ste 205, Miami, FL 33122-1622 | 2020-10-22 |
| 1760081640 | V & L Medical Center LLC | Community/Behavioral Health | 10300 Sw 72nd St Ste 282, Miami, FL 33173-3035 | 2020-10-21 |
| 1881293702 | Aloma Behavior LLC | Community/Behavioral Health | 3399 Nw 72nd Ave Ste 210, Miami, FL 33122-1343 | 2020-10-21 |
| 1154920379 | Paradise Community Center Inc | Community/Behavioral Health | 4995 Nw 72nd Ave Ste 308, Miami, FL 33166-5643 | 2020-10-19 |
| 1720686249 | Brighter Days Aba Therapy Corp. | Community/Behavioral Health | 12247 Sw 17th Ln Apt 108, Miami, FL 33175-1582 | 2020-10-16 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on THE SHAPING ACADEMY FOR BEHAVIORAL DEVELOPMENT.
| 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.