Healthcare Provider Details

I. General information

NPI: 1720631195
Provider Name (Legal Business Name): ART OF BEHAVIOR ANALYSIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 NW 25TH ST STE 204
DORAL FL
33172-5922
US

IV. Provider business mailing address

10200 NW 25TH ST STE 204
DORAL FL
33172-5922
US

V. Phone/Fax

Practice location:
  • Phone: 305-406-3689
  • Fax: 786-441-4412
Mailing address:
  • Phone: 888-900-7779
  • Fax: 786-441-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR BLUMTRITT
Title or Position: PRESIDENT
Credential:
Phone: 888-900-7779