Provider Demographics
NPI:1033646302
Name:JCV BEHAVIOR SERVICES LLC
Entity Type:Organization
Organization Name:JCV BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:305-777-3884
Mailing Address - Street 1:6625 MIAMI LAKES DR STE 226
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2761
Mailing Address - Country:US
Mailing Address - Phone:305-777-3884
Mailing Address - Fax:305-777-3885
Practice Address - Street 1:6625 MIAMI LAKES DR STE 226
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2761
Practice Address - Country:US
Practice Address - Phone:305-777-3884
Practice Address - Fax:305-777-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health