Provider Demographics
NPI:1891448940
Name:CHILDRENS BEHAVIOR ASSISTANCE
Entity Type:Organization
Organization Name:CHILDRENS BEHAVIOR ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHABELI
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-307-6640
Mailing Address - Street 1:515 N FLAGLER DR STE P300
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4326
Mailing Address - Country:US
Mailing Address - Phone:305-307-6640
Mailing Address - Fax:
Practice Address - Street 1:515 N FLAGLER DR STE P300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4326
Practice Address - Country:US
Practice Address - Phone:305-307-6640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty