Healthcare Provider Details

I. General information

NPI: 1225873003
Provider Name (Legal Business Name): GUARDIANS THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15192 SW 137TH ST STE 14
MIAMI FL
33196-5786
US

IV. Provider business mailing address

224 NE 23RD TER
HOMESTEAD FL
33033-6220
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-9997
  • Fax:
Mailing address:
  • Phone: 305-575-9997
  • 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: SOFIA MARGOT REYNA
Title or Position: OWNER
Credential:
Phone: 305-575-9997