Healthcare Provider Details

I. General information

NPI: 1972229268
Provider Name (Legal Business Name): JOHN LEONARD JOACHIN JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 NW 68TH TER
MIAMI FL
33147-7306
US

IV. Provider business mailing address

2108 NW 68TH TER
MIAMI FL
33147-7306
US

V. Phone/Fax

Practice location:
  • Phone: 305-607-8830
  • Fax:
Mailing address:
  • Phone: 305-850-0886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2840681
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: