Healthcare Provider Details

I. General information

NPI: 1497463020
Provider Name (Legal Business Name): FELIPE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 SW 48TH CT
CORAL GABLES FL
33134-1262
US

IV. Provider business mailing address

165 SW 48TH CT
CORAL GABLES FL
33134-1262
US

V. Phone/Fax

Practice location:
  • Phone: 305-780-9699
  • Fax:
Mailing address:
  • Phone: 305-780-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ARELIS FELIPE GONZALEZ SOLE
Title or Position: PRESIDENT
Credential: BCBA
Phone: 305-780-9699