Provider Demographics
NPI:1700407194
Name:PIECE-BY-PIECE BEHAVIORAL THERAPY
Entity Type:Organization
Organization Name:PIECE-BY-PIECE BEHAVIORAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:305-781-3273
Mailing Address - Street 1:15000 SW 49TH LN APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4258
Mailing Address - Country:US
Mailing Address - Phone:305-781-3273
Mailing Address - Fax:
Practice Address - Street 1:15000 SW 49TH LN APT C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4258
Practice Address - Country:US
Practice Address - Phone:305-781-3273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty