Premium Medical Center Corp
NPI 1053095463ActiveOrganization· Behavior Analyst· Virginia Gardens, FL
Behavior Analyst in Virginia Gardens, Florida, registered in NPPES in June 2023. The authorized official on file is Mabel Gutierrez Concepcion, Owner.
Overview
| NPI | 1053095463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Jun 14, 2023 |
| Certified by provider | Jun 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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