Healthcare Provider Details

I. General information

NPI: 1063868552
Provider Name (Legal Business Name): A&T BEHAVIOR SOLUTION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 W 49TH PL STE 401
HIALEAH FL
33012-8142
US

IV. Provider business mailing address

1490 W 49TH PL STE 401
HIALEAH FL
33012-8142
US

V. Phone/Fax

Practice location:
  • Phone: 786-294-0255
  • Fax:
Mailing address:
  • Phone: 786-294-0255
  • 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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: TERESA PUENTE
Title or Position: OWNER
Credential:
Phone: 305-962-5917