Provider Demographics
NPI:1922541622
Name:ADAMA BEHAVIOR SERVICES INC
Entity Type:Organization
Organization Name:ADAMA BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:DELIA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-256-0465
Mailing Address - Street 1:500 STATE ROAD 436
Mailing Address - Street 2:SUITE 2020
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5387
Mailing Address - Country:US
Mailing Address - Phone:786-256-0465
Mailing Address - Fax:
Practice Address - Street 1:500 STATE ROAD 436
Practice Address - Street 2:SUITE 2020
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5387
Practice Address - Country:US
Practice Address - Phone:786-256-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health