Healthcare Provider Details

I. General information

NPI: 1821717109
Provider Name (Legal Business Name): MICHAEL PARRALES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 SW 117TH AVE
KENDALL FL
33183-3806
US

IV. Provider business mailing address

7460 SW 117TH AVE
KENDALL FL
33183-3806
US

V. Phone/Fax

Practice location:
  • Phone: 305-521-9556
  • Fax: 305-521-9556
Mailing address:
  • Phone: 305-521-9556
  • Fax: 305-521-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-16865
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: