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

Phoenix House of Support Corp

Organization Behavior Analyst · NPI 1356897300

Phoenix House of Support Corp is a Behavior Analyst 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
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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