Provider Demographics
NPI:1134633282
Name:BEHAVIOR INSTITUTE CORP
Entity type:Organization
Organization Name:BEHAVIOR INSTITUTE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELSO
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CHIGNOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-733-6271
Mailing Address - Street 1:115 SUNRISE DR APT 3A
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-2144
Mailing Address - Country:US
Mailing Address - Phone:305-733-6271
Mailing Address - Fax:
Practice Address - Street 1:2655 S LE JEUNE RD STE 327
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5832
Practice Address - Country:US
Practice Address - Phone:305-733-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty