Provider Demographics
NPI:1467343822
Name:E & Y BEHAVIOR THERAPY CORP.
Entity type:Organization
Organization Name:E & Y BEHAVIOR THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARYS
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARGALLO DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-424-2626
Mailing Address - Street 1:4680 NW 107TH AVE APT 1508
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4251
Mailing Address - Country:US
Mailing Address - Phone:786-424-2626
Mailing Address - Fax:
Practice Address - Street 1:4680 NW 107TH AVE APT 1508
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4251
Practice Address - Country:US
Practice Address - Phone:786-424-2626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty