Provider Demographics
NPI:1790008936
Name:A NEW BEGINNING BEHAVIORAL SERVICES, INC
Entity Type:Organization
Organization Name:A NEW BEGINNING BEHAVIORAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUZA-MERIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-389-0943
Mailing Address - Street 1:PO BOX 228224
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33222-8224
Mailing Address - Country:US
Mailing Address - Phone:305-389-0943
Mailing Address - Fax:
Practice Address - Street 1:9794 NW 27TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1312
Practice Address - Country:US
Practice Address - Phone:305-389-0943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLN/A103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty