Healthcare Provider Details
I. General information
NPI: 1912562851
Provider Name (Legal Business Name): Y & M BEHAVIORAL THERAPY SVC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2019
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 OAK LN STE 400
MIAMI LAKES FL
33016-6001
US
IV. Provider business mailing address
7900 OAK LN STE 400
MIAMI LAKES FL
33016-6001
US
V. Phone/Fax
- Phone: 786-622-5743
- Fax: 954-368-8738
- Phone: 786-622-5743
- Fax: 954-368-8738
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YENEY
GARCIA
Title or Position: CLINICAL DIRECTOR/ OWNER
Credential: LMHC, BCBA
Phone: 786-622-5743