Provider Demographics
NPI:1417669664
Name:EA BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:EA BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELYNOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARANDIA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-527-4913
Mailing Address - Street 1:5845 SW 144TH CIRCLE PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1073
Mailing Address - Country:US
Mailing Address - Phone:786-527-4913
Mailing Address - Fax:561-828-3124
Practice Address - Street 1:14155 SW 87TH ST APT 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4412
Practice Address - Country:US
Practice Address - Phone:786-527-4913
Practice Address - Fax:561-828-3124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty