Organization · NPI-2

Advanced Behavioral Association, LLC

Psychologist · Doral, FL

NPI number1386004703

StatusActive

Last updated in NPPESApr 12, 2019

Details

NPI: 1386004703
Entity type: Organization (NPI-2)
Legal business name: Advanced Behavioral Association, LLC
Organization subpart: No
Enumeration date: Feb 26, 2016
Last updated: Apr 12, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	–	–	Yes
103TR0400X	Psychologist, Rehabilitation	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
101YM0800X	Counselor, Mental Health	–	–
103K00000X	Behavior Analyst	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TC0700X	Psychologist, Clinical	–	–
103TC2200X	Psychologist, Clinical Child & Adolescent	–	–
103TF0200X	Psychologist, Forensic	–	–
103TM1800X	Psychologist, Intellectual & Developmental Disabilities	–	–

Practice location

7925 Nw 12th St Ste 118
Doral, FL 33126-1820

Phone 786-379-7602 · Fax 786-800-5517

Mailing address

2721 Sw 92nd Ct
Miami, FL 33165-3127

Phone 786-379-7602 · Fax 786-800-5517

Authorized official

Varinia F Cabrera
President
7863797602

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