Healthcare Provider Details

I. General information

NPI: 1508645565
Provider Name (Legal Business Name): PUZZLE TOYS BEHAVIOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 SW 135TH AVE STE 206
MIAMI FL
33183-5101
US

IV. Provider business mailing address

5600 SW 135TH AVE STE 206
MIAMI FL
33183-5101
US

V. Phone/Fax

Practice location:
  • Phone: 786-630-5732
  • Fax:
Mailing address:
  • Phone: 786-630-5732
  • 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: MARILUZ SOSA
Title or Position: PRESIDENT
Credential: BCBA
Phone: 786-630-5732