Provider Demographics
NPI:1023547148
Name:ALTERNATIVE BEHAVIOR COUNSELING, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIOR COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-277-1571
Mailing Address - Street 1:9507 SW 160TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3373
Mailing Address - Country:US
Mailing Address - Phone:786-277-1571
Mailing Address - Fax:
Practice Address - Street 1:9507 SW 160TH ST STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-3373
Practice Address - Country:US
Practice Address - Phone:786-277-1571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty