Healthcare Provider Details

I. General information

NPI: 1629907373
Provider Name (Legal Business Name): BEHAVIOR ANLI SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3508 NW 114TH AVE STE 107
DORAL FL
33178-1841
US

IV. Provider business mailing address

3508 NW 114TH AVE STE 107
DORAL FL
33178-1841
US

V. Phone/Fax

Practice location:
  • Phone: 954-608-6767
  • Fax: 954-827-3978
Mailing address:
  • Phone: 954-608-6767
  • Fax: 954-827-3978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREA YOMALI ZAMBRANO PENA
Title or Position: OWNER
Credential:
Phone: 954-608-6767