Provider Demographics
NPI:1407581002
Name:FOREVER FRIENDS BEHAVIOR SERVICES CORP
Entity Type:Organization
Organization Name:FOREVER FRIENDS BEHAVIOR SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YORDANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-343-7819
Mailing Address - Street 1:8875 HIDDEN RIVER PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-2087
Mailing Address - Country:US
Mailing Address - Phone:786-343-7819
Mailing Address - Fax:
Practice Address - Street 1:8875 HIDDEN RIVER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-2087
Practice Address - Country:US
Practice Address - Phone:786-343-7819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty