Provider Demographics
NPI:1740053586
Name:OPERANT BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:OPERANT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSSNIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-979-1776
Mailing Address - Street 1:3351 W 100TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2102
Mailing Address - Country:US
Mailing Address - Phone:305-979-1776
Mailing Address - Fax:
Practice Address - Street 1:3351 W 100TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2102
Practice Address - Country:US
Practice Address - Phone:305-979-1776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty