Healthcare Provider Details

I. General information

NPI: 1881518280
Provider Name (Legal Business Name): NANI BEHAVIOR THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14411 COMMERCE WAY STE 225
MIAMI LAKES FL
33016-1572
US

IV. Provider business mailing address

14411 COMMERCE WAY STE 225
MIAMI LAKES FL
33016-1572
US

V. Phone/Fax

Practice location:
  • Phone: 786-720-8013
  • Fax:
Mailing address:
  • Phone: 786-720-8013
  • 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: YANISLEY SANTANACH MORELL
Title or Position: PRESIDENT
Credential:
Phone: 786-720-8013