Healthcare Provider Details

I. General information

NPI: 1700237484
Provider Name (Legal Business Name): THERAPY 101, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FONTAINEBLEAU BLVD SUITE 2D1
MIAMI FL
33172-7018
US

IV. Provider business mailing address

2346 W 66TH PL
HIALEAH FL
33016-3973
US

V. Phone/Fax

Practice location:
  • Phone: 305-228-7000
  • Fax: 305-228-7009
Mailing address:
  • Phone: 305-987-7399
  • 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: MRS. YAZMIN PEREZ ALVAREZ
Title or Position: OWNER
Credential: RBT
Phone: 305-987-7399