Provider Demographics
NPI:1306300538
Name:AYE COUNSELOR & BEHAVIOR THERAPY INC
Entity type:Organization
Organization Name:AYE COUNSELOR & BEHAVIOR THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ PANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-241-1761
Mailing Address - Street 1:8100 NW 155TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5865
Mailing Address - Country:US
Mailing Address - Phone:786-241-1761
Mailing Address - Fax:786-542-5084
Practice Address - Street 1:8100 NW 155TH ST STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5865
Practice Address - Country:US
Practice Address - Phone:786-241-1761
Practice Address - Fax:786-542-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022671000Medicaid