Healthcare Provider Details
I. General information
NPI: 1568997443
Provider Name (Legal Business Name): APPLIED PSYCHOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13550 SW 88TH ST STE 294
MIAMI FL
33186-1513
US
IV. Provider business mailing address
10535 SW 124TH RD
MIAMI FL
33186-3649
US
V. Phone/Fax
- Phone: 305-418-0608
- Fax: 305-418-0609
- Phone: 305-418-0608
- Fax: 305-418-0609
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | SW 12839 |
| License Number State | FL |
VIII. Authorized Official
Name:
CECILIA
AMALIA
DE LA CRUZ
Title or Position: CLINICAL DIRECTOR, OWNER
Credential: DR. ED.D. LCSW, BCBA
Phone: 305-418-0608