Healthcare Provider Details

I. General information

NPI: 1851002638
Provider Name (Legal Business Name): POSITIVE MINDS BEHAVIOR GROUP, LLC DBA POSITIVE MINDS REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12595 SW 137TH AVE STE 208
MIAMI FL
33186-4221
US

IV. Provider business mailing address

12595 SW 137TH AVE STE 208
MIAMI FL
33186-4221
US

V. Phone/Fax

Practice location:
  • Phone: 305-424-7040
  • Fax:
Mailing address:
  • Phone: 305-424-7040
  • Fax: 786-460-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARIANNA ALVAREZ CRESPO
Title or Position: OWNER
Credential: BCBA
Phone: 786-506-6673