Healthcare Provider Details

I. General information

NPI: 1992637607
Provider Name (Legal Business Name): AVENTRA BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 NW 33RD ST STE 370
DORAL FL
33122-2008
US

IV. Provider business mailing address

8400 NW 33RD ST STE 370
DORAL FL
33122-2008
US

V. Phone/Fax

Practice location:
  • Phone: 305-848-5344
  • Fax:
Mailing address:
  • Phone: 305-848-5344
  • 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: DAMIAN PEREZ SANTOS
Title or Position: PRESIDENT
Credential:
Phone: 305-848-5344