=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215677000
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AARON B THERAPY SERVICE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2022
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1301 W 68TH ST STE BE
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33014-4579
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-308-6978
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19766 NW 34TH AVE
-----------------------------------------------------
City | MIAMI GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33056-2280
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-308-6978
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JULIO VILLEGAS
-----------------------------------------------------
Credential | SPEECH THERAPIST
-----------------------------------------------------
Telephone | 786-308-6978
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------