PHOENIX HOUSE OF SUPPORT CORP
NPI 1356897300
Behavior Analyst in Cutler Bay, FL

NPI Status: Active since August 30, 2016

Contact Information

8902 SW 208TH TER
CUTLER BAY, FL
ZIP 33189
Phone: (786) 301-1571
Fax: (305) 233-8594

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  • Organization
  • Behavior Analyst

About PHOENIX HOUSE OF SUPPORT CORP

This page provides the complete NPI Profile along with additional information for Phoenix House Of Support Corp, a provider established in Cutler Bay, Florida operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1356897300 assigned on August 2016. The practitioner's primary taxonomy code is 103K00000X with license number 016029700 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tamara Viquillon (Owner)

NPI
1356897300
Provider Name
PHOENIX HOUSE OF SUPPORT CORP
Entity Type
Organization
Location Address
8902 SW 208TH TER CUTLER BAY, FL 33189
Location Phone
(786) 301-1571
Location Fax
(305) 233-8594
Mailing Address
8902 SW 208TH TER CUTLER BAY, FL 33189
Mailing Phone
(786) 301-1571
Mailing Fax
(305) 233-8594
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2016
Last Update Date
08-30-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
016029700
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMARA VIQUILLON

Authorized Official Title
OWNER
Authorized Official Phone
(786) 301-1571

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
016029700MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356897300, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 6 + 9 + 1 + 4 + 3 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1356897300.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356897300, enumerated as an "organization" on August 30, 2016.

The provider is located at 8902 SW 208TH TER CUTLER BAY, FL 33189 and the phone number is (786) 301-1571.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.