Healthcare Provider Details

I. General information

NPI: 1386586410
Provider Name (Legal Business Name): ORLYS BEHAVIORAL SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 NW 5TH TER APT 108
MIAMI FL
33126-6810
US

IV. Provider business mailing address

12725 SW 204TH LN
MIAMI FL
33177-5114
US

V. Phone/Fax

Practice location:
  • Phone: 786-602-8657
  • Fax:
Mailing address:
  • Phone: 786-301-7976
  • 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: AINA DENIS AGUILAR
Title or Position: OWNER
Credential: BCBA
Phone: 786-301-7976