Organization · Type 2 NPI

My Innovative Therapy LLC

Behavior Analyst · Miami Gardens, FL

NPI number 1053066845 Active

Practice location

17820 NW 48th Court
Miami Gardens, FL 33055

Mailing address

17820 NW 48th Ct
Miami Gardens, FL 33055-3210

Other practice locations

  • 87-2142 Helelua Pl Apt 5, Waianae, HI 96792-3885 · (786) 879-4487

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Physical Therapy Clinic/Center 261QP2000XNone listed
Occupational Medicine Clinic/Center 261QX0100XNone listed

Behavior Analyst: 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…

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About NPI 1053066845

My Innovative Therapy LLC's National Provider Identifier is 1053066845, issued on Feb 20, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Miami Gardens, FL. The record was last updated on Dec 29, 2025.