PHOENIX HOUSE OF SUPPORT CORP
NPI 1356897300
Behavior Analyst in Cutler Bay, FL

Q: What is Phoenix House Of Support Corp's NPI number?

The NPI number for Phoenix House Of Support Corp is 1356897300. It was assigned to this organization in the NPPES registry on August 30, 2016.

Q: What is Phoenix House Of Support Corp's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since August 30, 2016

8902 SW 208TH TER, CUTLER BAY, FL 33189(786) 301-1571(305) 233-8594 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phoenix House Of Support Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HOUSE OF SUPPORT CORP (NPI 1356897300) is a healthcare organization registered as a behavior analyst in Cutler Bay, Florida and active in the NPI registry since August 2016. The organization lists Tamara Viquillon, Owner, as its authorized official.

NPPES Registry Identity

NPI1356897300

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NamePHOENIX HOUSE OF SUPPORT CORP

Location Address8902 SW 208TH TERCutler Bay, FL 33189-3884

Mailing Address8902 Sw 208th TerCutler Bay, FL 33189-3884 · (786) 301-1571 · Fax (305) 233-8594

Phone(786) 301-1571

Fax(305) 233-8594

Organization SubpartNo

Authorized OfficialTamara ViquillonOwner · (786) 301-1571

Enumeration DateAugust 30, 2016

✔ NPI 1356897300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 016029700

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

8902 SW 208TH TER, Cutler Bay, FL 33189

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Other Identifiers 1

Medicaid016029700FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix House Of Support Corp's NPI number?

The NPI number for Phoenix House Of Support Corp is 1356897300. It was assigned to this organization in the NPPES registry on August 30, 2016.

Where is Phoenix House Of Support Corp located?

Phoenix House Of Support Corp is located at 8902 SW 208th Ter, Cutler Bay, FL 33189. The listed phone number is (786) 301-1571.

What is Phoenix House Of Support Corp's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Phoenix House Of Support Corp was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.