Angels of Life Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ANGELS OF LIFE THERAPY INC

Practice address

5785A NW 151St St
Miami Lakes, FL 33014-2490

Phone

(786) 817-3599

Fax

(786) 360-3166

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Yasset Dominguez Leon

Title

President

Phone

(786) 671-9239

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1528829058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785A NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142490",
            "telephone_number": "786-817-3599",
            "fax_number": "786-360-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785A NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142490",
            "telephone_number": "786-817-3599",
            "fax_number": "786-360-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF LIFE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ LEON",
        "authorized_official_first_name": "YASSET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-671-9239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.