Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix House of Support Corp

Organization Behavior Analyst · NPI 1356897300

Phoenix House of Support Corp provides Behavior Analyst services in Cutler Bay, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8902 SW 208th Ter
Cutler Bay, FL 33189-3884 Not confirmed with CMS for 10 years — call before visiting
Phone: (786) 301-1571
Fax: (305) 233-8594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 016029700 (FL)

Record details

NPI number1356897300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Viquillon — Owner · (786) 301-1571
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016
Mailing address8902 Sw 208th Ter, Cutler Bay, FL 33189-3884

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