# MIA BEHAVIOR SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518782101
- **Authorized official:** MRS. AMY LOPEZ BCBA (PRESIDENT)
- **Authorized official phone:** (786) 365-2155

## Contact information

- **Practice address:** 4210 SW 116TH AVE, MIAMI, FL 33165
- **Practice address phone:** (786) 365-2155
- **Mailing address:** 2423 SW 147TH AVE \# 574, MIAMI, FL 33185-4082
- **Mailing address phone:** (786) 365-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 11/19/2024