Provider Demographics
NPI:1417736596
Name:Q&V BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:Q&V BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:ALIS
Authorized Official - Middle Name:NELVIS
Authorized Official - Last Name:VILLARINO RIVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-318-0846
Mailing Address - Street 1:9540 DOMINICAN DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9540 DOMINICAN DR
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1619
Practice Address - Country:US
Practice Address - Phone:786-318-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty