Healthcare Provider Details

I. General information

NPI: 1225645856
Provider Name (Legal Business Name): MY BIG WORLD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 SW 137TH AVE STE 242
MIAMI FL
33186-1409
US

IV. Provider business mailing address

9010 SW 137TH AVE STE 242
MIAMI FL
33186-1409
US

V. Phone/Fax

Practice location:
  • Phone: 305-388-0004
  • Fax: 305-388-8009
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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARLENE TAPANES
Title or Position: OWNER
Credential:
Phone: 305-388-0004