Healthcare Provider Details

I. General information

NPI: 1851229272
Provider Name (Legal Business Name): AVALI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

870 E 6TH AVE
HIALEAH FL
33010-4529
US

IV. Provider business mailing address

16745 NW 78TH AVE
MIAMI LAKES FL
33016-8438
US

V. Phone/Fax

Practice location:
  • Phone: 786-256-1853
  • Fax:
Mailing address:
  • Phone: 786-256-1853
  • 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: REGGY RODRIGUEZ
Title or Position: EXECUTIVE DIRECTOR
Credential: BCABA
Phone: 786-256-1853