Provider Demographics
NPI:1740639152
Name:MHB CONSULTANTS
Entity type:Organization
Organization Name:MHB CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:305-742-2189
Mailing Address - Street 1:225 NE 23RD ST APT 1205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4037
Mailing Address - Country:US
Mailing Address - Phone:786-740-2704
Mailing Address - Fax:
Practice Address - Street 1:225 NE 23ST #1205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137
Practice Address - Country:US
Practice Address - Phone:786-740-2704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15-04460252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15-04460Medicaid