Provider Demographics
NPI:1811422298
Name:BEHAVIORAL SPECIALISTS OF SOUTH FLORIDA
Entity Type:Organization
Organization Name:BEHAVIORAL SPECIALISTS OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLETTE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-927-0018
Mailing Address - Street 1:7941 W 30TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-3831
Mailing Address - Country:US
Mailing Address - Phone:305-927-0018
Mailing Address - Fax:305-907-5322
Practice Address - Street 1:7941 W 30TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-3831
Practice Address - Country:US
Practice Address - Phone:305-927-0018
Practice Address - Fax:305-907-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty