Healthcare Provider Details

I. General information

NPI: 1164347886
Provider Name (Legal Business Name): AVIRA BEHAVIORAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 NW 194TH TER
HIALEAH FL
33018-6217
US

IV. Provider business mailing address

8850 NW 194TH TER
HIALEAH FL
33018-6217
US

V. Phone/Fax

Practice location:
  • Phone: 305-904-1862
  • Fax:
Mailing address:
  • Phone: 305-904-1862
  • 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: SARA AVILA
Title or Position: BCBA
Credential:
Phone: 305-904-1862