Healthcare Provider Details

I. General information

NPI: 1285313593
Provider Name (Legal Business Name): PEDIATRIC BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SW 175TH TER OFC 229
PALMETTO BAY FL
33157-5604
US

IV. Provider business mailing address

15988 SW 136TH WAY
MIAMI FL
33196-1822
US

V. Phone/Fax

Practice location:
  • Phone: 786-286-1249
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE M CURRAS
Title or Position: OWNER
Credential:
Phone: 786-286-1249