Provider Demographics
NPI:1851079701
Name:BEHAVIOR THERAPY NEW BEGINNINGS LLC
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY NEW BEGINNINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OSLEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-398-3824
Mailing Address - Street 1:11706 SW 242ND TER # 11706
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5102
Mailing Address - Country:US
Mailing Address - Phone:786-398-3824
Mailing Address - Fax:
Practice Address - Street 1:11706 SW 242ND TER # 11706
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5102
Practice Address - Country:US
Practice Address - Phone:786-398-3824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service