Provider Demographics
NPI:1336809110
Name:D & D BEHAVIOR THERAPY INC
Entity Type:Organization
Organization Name:D & D BEHAVIOR THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-805-9168
Mailing Address - Street 1:14185 SW 87TH ST APT A115
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4081
Mailing Address - Country:US
Mailing Address - Phone:786-805-9168
Mailing Address - Fax:
Practice Address - Street 1:14185 SW 87TH ST APT A115
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4081
Practice Address - Country:US
Practice Address - Phone:786-805-9168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty