MEDICARE: BEHAVIORAL PSYCHOLOGY SERVICES LLC

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

Other Identifiers

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

General Provider Information

NPI Number	:	1831896067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL PSYCHOLOGY SERVICES LLC

Provider Business Mailing Address
First Line	:	14935 SW 53RD LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4024
Country	:	US
Telephone Number	:	786-718-5701
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 GALIANO ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5402
Country	:	US
Telephone Number	:	786-718-5701
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YASMIANY LUCIA HERNANDEZ
Credential	:
Telephone Number	:	786-718-5701

Provider Enumeration Date	:	02/08/2023
Last Update Date	:	05/27/2026

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