Organization
1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMARILYS PEREZ (PRESIDENT)
(786) 200-7425
Entity
Organization
Contact information
Practice address
19001 SW 106TH AVE, SUITE C103, CUTLER BAY, FL 33157-7669
(786) 523-2352
(786) 431-4078
Mailing address
19001 SW 106TH AVE STE C103, CUTLER BAY, FL 33157-7669
(786) 523-2352
(786) 431-4078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
103K00000X
Behavior Analyst
—
FL
106H00000X
Marriage & Family Therapist
—
FL
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014923500
—
FL
05
—
014923501
—
FL
05
—
018511200
—
FL
Enumeration date
09/02/2014
Last updated
10/29/2025
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