Provider Demographics
NPI:1407545197
Name:AMERICAN MEDICAL WELLNESS, CORP
Entity Type:Organization
Organization Name:AMERICAN MEDICAL WELLNESS, CORP
Other - Org Name:LEARNING TOGETHER ABA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-615-2640
Mailing Address - Street 1:8080 W FLAGLER ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2100
Mailing Address - Country:US
Mailing Address - Phone:786-615-2640
Mailing Address - Fax:786-615-2246
Practice Address - Street 1:8080 W FLAGLER ST STE 2A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:786-615-2640
Practice Address - Fax:786-615-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty