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 provides Behavior Analyst services 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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