Healthcare Provider Details

I. General information

NPI: 1174410393
Provider Name (Legal Business Name): JMD BEHAVIOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST STE 457
MIAMI FL
33173-3000
US

IV. Provider business mailing address

10300 SW 72ND ST STE 457
MIAMI FL
33173-3000
US

V. Phone/Fax

Practice location:
  • Phone: 305-392-0965
  • Fax:
Mailing address:
  • Phone: 305-392-0965
  • 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: MARIA POU
Title or Position: CEO
Credential:
Phone: 786-212-0111