Healthcare Provider Details

I. General information

NPI: 1689284242
Provider Name (Legal Business Name): ADVANCED BEHAVIOR AND PSYCH SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 08/07/2020
Certification Date: 08/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21830 INGRAHAM AVENUE RD
CUTLER BAY FL
33190-1009
US

IV. Provider business mailing address

21830 INGRAHAM AVENUE RD
CUTLER BAY FL
33190-1009
US

V. Phone/Fax

Practice location:
  • Phone: 786-355-5654
  • Fax:
Mailing address:
  • Phone: 786-355-5654
  • 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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAYANEI DE ARMAS
Title or Position: OWNER
Credential: LMFT, BCBA
Phone: 786-355-5654