Provider Demographics
NPI:1932661808
Name:OPTIMAL BEHAVIOR SOLUTIONS, INC
Entity Type:Organization
Organization Name:OPTIMAL BEHAVIOR SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ODILIA
Authorized Official - Middle Name:DE LA CARIDAD
Authorized Official - Last Name:VIVAS CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-853-4206
Mailing Address - Street 1:365 FIFTH AVE S STE 214
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6575
Mailing Address - Country:US
Mailing Address - Phone:786-853-4206
Mailing Address - Fax:
Practice Address - Street 1:365 FIFTH AVE S STE 214
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6575
Practice Address - Country:US
Practice Address - Phone:786-853-4206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty