Healthcare Provider Details

I. General information

NPI: 1427503507
Provider Name (Legal Business Name): ACADEMIC, BEHAVIORAL, AND COGNITIVE TESTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4812 SW 74TH CT # 3
MIAMI FL
33155-4448
US

IV. Provider business mailing address

4812 SW 74TH CT # 3
MIAMI FL
33155-4448
US

V. Phone/Fax

Practice location:
  • Phone: 786-529-8378
  • Fax: 786-400-2134
Mailing address:
  • Phone: 786-529-8378
  • Fax: 786-400-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LISETTE D RIERA
Title or Position: OWNER/ LICENSED AND NATIONALLY CER
Credential: PSY. S., LSP, NCSP
Phone: 786-529-8378