Healthcare Provider Details

I. General information

NPI: 1639797905
Provider Name (Legal Business Name): BUENOS AIRES THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12855 SW 136TH AVE STE 104
MIAMI FL
33186-5827
US

IV. Provider business mailing address

12855 SW 136TH AVE STE 104
MIAMI FL
33186-5827
US

V. Phone/Fax

Practice location:
  • Phone: 305-467-8879
  • Fax:
Mailing address:
  • Phone: 305-467-8879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIA INES BARRAGUE
Title or Position: OWNER/ CLINICAL DIRECTOR
Credential: LMHC
Phone: 305-351-6923