Provider Demographics
NPI:1700237484
Name:THERAPY 101, INC
Entity Type:Organization
Organization Name:THERAPY 101, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:305-987-7399
Mailing Address - Street 1:2346 W 66TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3973
Mailing Address - Country:US
Mailing Address - Phone:305-987-7399
Mailing Address - Fax:
Practice Address - Street 1:175 FONTAINEBLEAU BLVD
Practice Address - Street 2:SUITE 2D1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7018
Practice Address - Country:US
Practice Address - Phone:305-228-7000
Practice Address - Fax:305-228-7009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAY OF LIGHT HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty