Mind Up Advanced Counseling Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MIND UP ADVANCED COUNSELING SERVICES, LLC

Practice address

12855 SW 132ND St Ste 101
Miami, FL 33186-7209

Phone

(305) 632-3892

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Aylem Collazo Amador, LMHC, BCBA

Title

President

Phone

(305) 632-3892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1679358618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 132ND ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867209",
            "telephone_number": "305-632-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 132ND ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867209",
            "telephone_number": "305-632-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND UP ADVANCED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "COLLAZO AMADOR",
        "authorized_official_first_name": "AYLEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-3892",
        "authorized_official_credential": "LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.