Healthcare Provider Details
I. General information
NPI: 1164343828
Provider Name (Legal Business Name): COOL BEHAVIORISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 CALLE SANTIAGO VIVALDI
YAUCO PR
00698-3527
US
IV. Provider business mailing address
42 CALLE SANTIAGO VIVALDI
YAUCO PR
00698-3527
US
V. Phone/Fax
- Phone: 787-222-1671
- Fax:
- Phone: 787-222-1671
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NORIELYS
PONS
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: BCBA
Phone: 787-407-6934