Provider Demographics
NPI:1184071060
Name:MHB CONSULTANTS
Entity type:Organization
Organization Name:MHB CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ASSISTSNT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:786-548-7228
Mailing Address - Street 1:9811 W OKEECHOBEE RD
Mailing Address - Street 2:APT 210
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2188
Mailing Address - Country:US
Mailing Address - Phone:786-548-7228
Mailing Address - Fax:
Practice Address - Street 1:7855 NW 12TH ST
Practice Address - Street 2:117
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1826
Practice Address - Country:US
Practice Address - Phone:305-742-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-15-05298103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1982045290Medicaid