Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neurodverse LLC

Organization Behavior Analyst · NPI 1912615873

Neurodverse LLC is a Behavior Analyst in Doral, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10820 NW 85th Ter
Doral, FL 33178-1545
Phone: (786) 384-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1912615873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gretel Debasa Marimon — Bcba · (786) 384-1063
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address10820 Nw 85th Ter, Doral, FL 33178-1545

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