Provider Demographics
NPI:1558092569
Name:BE-HEAL THERAPY SERVICES CORP
Entity Type:Organization
Organization Name:BE-HEAL THERAPY SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SASTOQUE SOTELO
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:305-903-7297
Mailing Address - Street 1:7500 NW 25TH ST STE 252
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1720
Mailing Address - Country:US
Mailing Address - Phone:305-903-7297
Mailing Address - Fax:
Practice Address - Street 1:7500 NW 25TH ST STE 252
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1720
Practice Address - Country:US
Practice Address - Phone:305-903-7297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty