Provider Demographics
NPI:1639678691
Name:BEHAVIOR PROFESSIONAL CONSULTANTS CORP.
Entity Type:Organization
Organization Name:BEHAVIOR PROFESSIONAL CONSULTANTS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YANESI
Authorized Official - Middle Name:D
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:786-720-6918
Mailing Address - Street 1:2460 SW 137TH AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6399
Mailing Address - Country:US
Mailing Address - Phone:786-720-6918
Mailing Address - Fax:
Practice Address - Street 1:2460 SW 137TH AVE 242
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:786-763-5493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health