Provider Demographics
NPI:1558970103
Name:P&A BEHAVIORAL LLC
Entity Type:Organization
Organization Name:P&A BEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:KAROL
Authorized Official - Last Name:PAZ QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-9643
Mailing Address - Street 1:7900 OAK LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5888
Mailing Address - Country:US
Mailing Address - Phone:786-488-7317
Mailing Address - Fax:
Practice Address - Street 1:7900 OAK LN
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5888
Practice Address - Country:US
Practice Address - Phone:786-488-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management