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

Premium Medical Center Corp

Organization Behavior Analyst · NPI 1053095463

Premium Medical Center Corp is a Behavior Analyst in Virginia Gardens, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6405 NW 36th St Ste 11
Virginia Gardens, FL 33166-6974
Phone: (786) 334-5047
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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 number1053095463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mabel Gutierrez Concepcion — Owner · (786) 334-5047
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address6405 Nw 36th St Ste 11, Virginia Gardens, FL 33166-6974

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