Provider Demographics
NPI:1013372598
Name:COMPASS BEHAVIORAL CONSULTING, LLC
Entity Type:Organization
Organization Name:COMPASS BEHAVIORAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVERRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:954-459-5147
Mailing Address - Street 1:8250 LAKEWOOD RANCH BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5282
Mailing Address - Country:US
Mailing Address - Phone:954-459-5147
Mailing Address - Fax:
Practice Address - Street 1:8250 LAKEWOOD RANCH BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5282
Practice Address - Country:US
Practice Address - Phone:954-459-5147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty