Provider Demographics
NPI:1710763016
Name:PEACE BEHAVIOR CORP
Entity Type:Organization
Organization Name:PEACE BEHAVIOR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:EMILIO
Authorized Official - Last Name:HIDALGO PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-471-2185
Mailing Address - Street 1:8910 MIRAMAR PKWY STE 109
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4187
Mailing Address - Country:US
Mailing Address - Phone:786-471-2185
Mailing Address - Fax:
Practice Address - Street 1:8910 MIRAMAR PKWY STE 109
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4187
Practice Address - Country:US
Practice Address - Phone:786-471-2185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty