Healthcare Provider Details

I. General information

NPI: 1639664790
Provider Name (Legal Business Name): BEHAVIOR AND THERAPY CONSULTANTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13866 SW 56TH ST
MIAMI FL
33175-6060
US

IV. Provider business mailing address

13866 SW 56TH ST
MIAMI FL
33175-6060
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-4446
  • Fax: 305-386-3132
Mailing address:
  • Phone: 786-352-0299
  • Fax: 305-386-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YAIBISLEIVYS CRUZ
Title or Position: PRESIDENT
Credential:
Phone: 786-352-0299