Provider Demographics
NPI:1023697794
Name:UNITED FAMILY BEHAVIORAL THERAPY LLC
Entity type:Organization
Organization Name:UNITED FAMILY BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-230-7529
Mailing Address - Street 1:2240 PALM BEACH LAKES BLVD # 304E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3410
Mailing Address - Country:US
Mailing Address - Phone:561-557-5162
Mailing Address - Fax:
Practice Address - Street 1:2240 PALM BEACH LAKES BLVD # 304 E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3410
Practice Address - Country:US
Practice Address - Phone:856-345-4017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty