Provider Demographics
NPI:1093413320
Name:EMBRACING CHALLENGES SERVICES CORP
Entity Type:Organization
Organization Name:EMBRACING CHALLENGES SERVICES CORP
Other - Org Name:EMBRACING CHALLENGES SERVICES CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING/BILLING/BCBA
Authorized Official - Prefix:MR
Authorized Official - First Name:ARLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:954-618-9996
Mailing Address - Street 1:803 SHOTGUN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1946
Mailing Address - Country:US
Mailing Address - Phone:954-618-9996
Mailing Address - Fax:
Practice Address - Street 1:803 SHOTGUN RD STE 105
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33326-1946
Practice Address - Country:US
Practice Address - Phone:954-618-9996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty