Healthcare Provider Details

I. General information

NPI: 1306300538
Provider Name (Legal Business Name): AYE COUNSELOR & BEHAVIOR THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 NW 155TH ST STE 200
MIAMI LAKES FL
33016-5865
US

IV. Provider business mailing address

8100 NW 155TH ST STE 200
MIAMI LAKES FL
33016-5865
US

V. Phone/Fax

Practice location:
  • Phone: 786-241-1761
  • Fax: 786-542-5084
Mailing address:
  • Phone: 786-241-1761
  • Fax: 786-542-5084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YAMILE MUNOZ PANG
Title or Position: PRESIDENT
Credential:
Phone: 786-241-1761