Provider Demographics
NPI:1467161612
Name:IMPROVED BEHAVIOR THERAPY LLC
Entity Type:Organization
Organization Name:IMPROVED BEHAVIOR THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOIPA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-841-0294
Mailing Address - Street 1:10651 N KENDALL DR STE 218B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1545
Mailing Address - Country:US
Mailing Address - Phone:813-841-0294
Mailing Address - Fax:786-899-0454
Practice Address - Street 1:10651 N KENDALL DR STE 218B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1545
Practice Address - Country:US
Practice Address - Phone:813-841-0294
Practice Address - Fax:786-899-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty