Provider Demographics
NPI:1922734045
Name:POSSIBILITIES BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:POSSIBILITIES BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA
Authorized Official - Phone:787-403-8420
Mailing Address - Street 1:4471 NW 36TH ST STE 2002
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7290
Mailing Address - Country:US
Mailing Address - Phone:786-471-1844
Mailing Address - Fax:
Practice Address - Street 1:4471 NW 36TH ST STE 2002
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7290
Practice Address - Country:US
Practice Address - Phone:786-471-1844
Practice Address - Fax:786-513-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023372500Medicaid