Healthcare Provider Details

I. General information

NPI: 1639678691
Provider Name (Legal Business Name): BEHAVIOR PROFESSIONAL CONSULTANTS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 W FLAGLER ST
MIAMI FL
33144-2037
US

IV. Provider business mailing address

8550 W FLAGLER ST
MIAMI FL
33144-2037
US

V. Phone/Fax

Practice location:
  • Phone: 786-720-6918
  • Fax:
Mailing address:
  • Phone: 786-720-6918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. YANESI D CRUZ ESTRADA
Title or Position: PRESIDENT
Credential: BCBA
Phone: 786-720-6918