MEDICARE: CLARITY QUEST BEHAVIOR THERAPY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1356201578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY QUEST BEHAVIOR THERAPY, INC

Provider Business Mailing Address
First Line	:	19367 SW 132ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-2909
Country	:	US
Telephone Number	:	305-283-4982
Fax Number	:	844-306-1491

Provider Business Practice Location Address
First Line	:	9139 SW 227TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33190-1977
Country	:	US
Telephone Number	:	305-283-4982
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TERESA VIGIL
Credential	:	PRESIDENT
Telephone Number	:	305-283-4982

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

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