Healthcare Provider Details

I. General information

NPI: 1831896067
Provider Name (Legal Business Name): BEHAVIORAL PSYCHOLOGY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

14935 SW 53RD LN
MIAMI FL
33185-4024
US

V. Phone/Fax

Practice location:
  • Phone: 786-718-5701
  • Fax:
Mailing address:
  • Phone: 786-718-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YASMIANY LUCIA HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 786-718-5701