Provider Demographics
NPI:1093449993
Name:AAA BEHAVIORAL AND COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:AAA BEHAVIORAL AND COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:UZCATEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-720-9142
Mailing Address - Street 1:5401 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3720
Mailing Address - Country:US
Mailing Address - Phone:305-720-9142
Mailing Address - Fax:
Practice Address - Street 1:5401 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3720
Practice Address - Country:US
Practice Address - Phone:305-720-9142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty