Healthcare Provider Details

I. General information

NPI: 1043148588
Provider Name (Legal Business Name): D & M PROFESSIONAL SERVICES, 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

14214 SW 163RD TER
MIAMI FL
33177-1809
US

IV. Provider business mailing address

14214 SW 163RD TER
MIAMI FL
33177-1809
US

V. Phone/Fax

Practice location:
  • Phone: 786-307-9745
  • Fax: 305-749-6895
Mailing address:
  • Phone: 786-307-9745
  • Fax: 305-749-6895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DIANA ELAINE RUBIO SUAREZ
Title or Position: OWER
Credential: BCBA
Phone: 786-307-9745