Healthcare Provider Details

I. General information

NPI: 1801488515
Provider Name (Legal Business Name): KIDS BEHAVIORAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 NW 186TH TER
HIALEAH FL
33015-7206
US

IV. Provider business mailing address

8121 NW 186TH TER
HIALEAH FL
33015-7206
US

V. Phone/Fax

Practice location:
  • Phone: 786-858-6328
  • Fax:
Mailing address:
  • Phone: 786-858-6328
  • 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: HENRY ORAMA
Title or Position: CEO
Credential: BCBA
Phone: 786-858-6328