Provider Demographics
NPI:1336914076
Name:ARUKAH BEHAVIOR THERAPY LLC
Entity Type:Organization
Organization Name:ARUKAH BEHAVIOR THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SULENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-992-5099
Mailing Address - Street 1:1901 HARRISON ST STE 208
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5180
Mailing Address - Country:US
Mailing Address - Phone:786-992-5099
Mailing Address - Fax:
Practice Address - Street 1:1901 HARRISON ST STE 208
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5180
Practice Address - Country:US
Practice Address - Phone:786-992-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty