Provider Demographics
NPI:1326707449
Name:FAMILY THERAPY & BEHAVIOR SERVICES LLC
Entity Type:Organization
Organization Name:FAMILY THERAPY & BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NOMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-510-6209
Mailing Address - Street 1:2655 N OCEAN DR STE 305
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-4751
Mailing Address - Country:US
Mailing Address - Phone:561-818-1367
Mailing Address - Fax:561-516-8183
Practice Address - Street 1:2655 N OCEAN DR STE 305
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-4751
Practice Address - Country:US
Practice Address - Phone:561-818-1367
Practice Address - Fax:561-516-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty