Healthcare Provider Details

I. General information

NPI: 1194647677
Provider Name (Legal Business Name): OCEAN BEHAVIORAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 RIVIERA BLVD STE 152
MIRAMAR FL
33023-6570
US

IV. Provider business mailing address

7451 RIVIERA BLVD STE 152
MIRAMAR FL
33023-6570
US

V. Phone/Fax

Practice location:
  • Phone: 786-626-3651
  • Fax:
Mailing address:
  • Phone: 786-626-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CLARA ARLENYS LEAL HERNANDEZ
Title or Position: MEMBER
Credential:
Phone: 786-626-3651