Healthcare Provider Details

I. General information

NPI: 1235653866
Provider Name (Legal Business Name): J & A THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14221 SW 120TH ST STE 214
MIAMI FL
33186-4224
US

IV. Provider business mailing address

14221 SW 120TH ST STE 214
MIAMI FL
33186-4224
US

V. Phone/Fax

Practice location:
  • Phone: 305-381-0560
  • Fax: 786-483-8016
Mailing address:
  • Phone: 786-452-1185
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAMARYS SANTANA ALVAREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-452-1185