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NPI Code Detail

MEDICARE: SILENT WAVES BEHAVIOR GROUP, CORP

MEDICARE: SILENT WAVES BEHAVIOR GROUP, CORP
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457933384
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILENT WAVES BEHAVIOR GROUP, CORP
Provider Business Mailing Address
First Line : 7971 RIVIERA BLVD STE 302
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6447
Country : US
Telephone Number : 786-508-3245
Fax Number : 561-634-2814
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 203
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6446
Country : US
Telephone Number : 786-508-3245
Fax Number : 561-634-2814
Authorized Official
Title or Position : PRESIDENT
Name : YAKELIN ROBLES
Credential :
Telephone Number : 786-508-3245
Provider Enumeration Date : 04/21/2021
Last Update Date : 01/12/2026

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