Provider Demographics
NPI:1629481114
Name:OMEGA BEHAVIORAL CONSULTING, INC.
Entity Type:Organization
Organization Name:OMEGA BEHAVIORAL CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OMEGA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-374-5826
Mailing Address - Street 1:8224 NW 1ST PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-3032
Mailing Address - Country:US
Mailing Address - Phone:786-374-5826
Mailing Address - Fax:
Practice Address - Street 1:8224 NW 1ST PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-3032
Practice Address - Country:US
Practice Address - Phone:786-374-5826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency