Organization Active NPI

Prohealth Therapeutic Services, LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1770351090
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROHEALTH THERAPEUTIC SERVICES, LLC
Practice address
1801 Coral Way Ste 329
Miami, FL 33145-2784
Phone
(786) 442-0873
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Marielys Pino PaezNPI 1548996812
Title
Authorized Official
Phone
(786) 442-0873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1801 Coral Way Ste 329
Miami, FL 33145-2784

Mailing address

1801 Coral Way Ste 329
Miami, FL 33145-2784
Phone (786) 442-0873

National Provider Directory

National Provider Directory

Locations

1801 Coral Way
Ste 329
Miami, FL 33145
Phone (786) 442-0873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1770351090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY STE 329",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "786-442-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY STE 329",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "786-442-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "PINO PAEZ",
        "authorized_official_first_name": "MARIELYS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-442-0873"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.