PREMIUM MEDICAL CENTER CORP
NPI 1053095463
Behavior Analyst in Virginia Gardens, FL

Q: What is Premium Medical Center Corp's NPI number?

The NPI number for Premium Medical Center Corp is 1053095463. It was assigned to this organization in the NPPES registry on June 14, 2023.

Q: What is Premium Medical Center Corp's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since June 14, 2023

6405 NW 36TH ST STE 11, VIRGINIA GARDENS, FL 33166(786) 334-5047 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premium Medical Center Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIUM MEDICAL CENTER CORP (NPI 1053095463) is a healthcare organization registered as a behavior analyst in Virginia Gardens, Florida and active in the NPI registry since June 2023. The organization lists Mabel Gutierrez Concepcion, Owner, as its authorized official.

NPPES Registry Identity

NPI1053095463

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NamePREMIUM MEDICAL CENTER CORP

Location Address6405 NW 36TH ST STE 11Virginia Gardens, FL 33166-6974

Mailing Address6405 Nw 36th St Ste 11Virginia Gardens, FL 33166-6974 · (786) 334-5047

Phone(786) 334-5047

Organization SubpartNo

Authorized OfficialMabel Gutierrez ConcepcionOwner · (786) 334-5047

Enumeration DateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1053095463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

6405 NW 36TH ST STE 11, Virginia Gardens, FL 33166

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Medical Center Corp's NPI number?

The NPI number for Premium Medical Center Corp is 1053095463. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Premium Medical Center Corp located?

Premium Medical Center Corp is located at 6405 NW 36th St Ste 11, Virginia Gardens, FL 33166. The listed phone number is (786) 334-5047.

What is Premium Medical Center Corp's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Premium Medical Center Corp was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.