Provider Demographics
NPI:1336689397
Name:BEHAVIOR THERAPY INC
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ONEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASTELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-546-0241
Mailing Address - Street 1:3131 SW 135TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6657
Mailing Address - Country:US
Mailing Address - Phone:786-452-8486
Mailing Address - Fax:
Practice Address - Street 1:2711 SW 137TH AVE STE 85
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6360
Practice Address - Country:US
Practice Address - Phone:786-452-8486
Practice Address - Fax:786-233-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty