Provider Demographics
NPI:1871182014
Name:B2B BEHAVIOR MANAGEMENT INC
Entity Type:Organization
Organization Name:B2B BEHAVIOR MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-612-5077
Mailing Address - Street 1:11159 NW 39TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7573
Mailing Address - Country:US
Mailing Address - Phone:786-447-2555
Mailing Address - Fax:
Practice Address - Street 1:11159 NW 39TH ST APT 201
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7573
Practice Address - Country:US
Practice Address - Phone:786-612-5077
Practice Address - Fax:305-424-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty