Healthcare Provider Details

I. General information

NPI: 1740192558
Provider Name (Legal Business Name): AUTIE BEHAVIOR SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16025 SW 103RD LN
MIAMI FL
33196-6181
US

IV. Provider business mailing address

16025 SW 103RD LN
MIAMI FL
33196-6181
US

V. Phone/Fax

Practice location:
  • Phone: 788-626-4067
  • Fax:
Mailing address:
  • Phone: 788-626-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YAMILA AUTIE CASTRO
Title or Position: OWNER
Credential: ARNP,PMHNP-BC,BCBA
Phone: 786-626-4067