Healthcare Provider Details

I. General information

NPI: 1174358162
Provider Name (Legal Business Name): A&K BEHAVIOR SOLUTIONS, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 SW 128TH CT STE 232
MIAMI FL
33186-4674
US

IV. Provider business mailing address

12150 SW 128TH CT STE 232
MIAMI FL
33186-4674
US

V. Phone/Fax

Practice location:
  • Phone: 305-846-0805
  • Fax: 305-901-2774
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KARINA OLIVERA WRIGHT
Title or Position: PRESIDENT
Credential:
Phone: 305-846-0805