Provider Demographics
NPI:1164286050
Name:BEHAVIOR-PRO CARE, LLC
Entity Type:Organization
Organization Name:BEHAVIOR-PRO CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINAIBYS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREDES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-385-8602
Mailing Address - Street 1:7482 SW 124TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3507
Mailing Address - Country:US
Mailing Address - Phone:786-385-8602
Mailing Address - Fax:
Practice Address - Street 1:757 NW 27TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3012
Practice Address - Country:US
Practice Address - Phone:786-431-1133
Practice Address - Fax:786-431-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty