Provider Demographics
NPI:1851002638
Name:POSITIVE MINDS BEHAVIOR GROUP, LLC
Entity Type:Organization
Organization Name:POSITIVE MINDS BEHAVIOR GROUP, LLC
Other - Org Name:POSITIVE MINDS BEHAVIOR GROUP, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-506-6673
Mailing Address - Street 1:1500 NW 89TH CT STE 222
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2649
Mailing Address - Country:US
Mailing Address - Phone:305-424-7040
Mailing Address - Fax:786-460-0264
Practice Address - Street 1:1500 NW 89TH CT STE 222
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2649
Practice Address - Country:US
Practice Address - Phone:305-424-7040
Practice Address - Fax:786-460-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty