Healthcare Provider Details

I. General information

NPI: 1962125518
Provider Name (Legal Business Name): NEURALINK HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 06/17/2025
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 45TH SUITE 110
WEST PALM BEACH FL
33407
US

IV. Provider business mailing address

3625 NW 82ND AV SUITE 101
DORAL FL
33166
US

V. Phone/Fax

Practice location:
  • Phone: 786-583-8663
  • Fax: 786-364-1211
Mailing address:
  • Phone: 786-583-8663
  • Fax: 786-364-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA TEJEDA
Title or Position: CEO
Credential: DDS, MPH PHD
Phone: 786-583-8663