Healthcare Provider Details

I. General information

NPI: 1598544702
Provider Name (Legal Business Name): EMET DEVELOPMENT SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16711 SW 95TH ST UNIT 1
MIAMI FL
33196-4757
US

IV. Provider business mailing address

16711 SW 95TH ST UNIT 1
MIAMI FL
33196-4757
US

V. Phone/Fax

Practice location:
  • Phone: 305-639-8701
  • Fax: 305-639-8639
Mailing address:
  • Phone: 305-639-8701
  • Fax: 305-639-8639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARIAN DEL CARMEN HERNANDEZ VILATO
Title or Position: PRESIDENT
Credential: BCBA
Phone: 305-639-8701