Provider Demographics
NPI:1740990647
Name:BEHAVIOR SUPPORT CENTER OF FLORIDA INC
Entity type:Organization
Organization Name:BEHAVIOR SUPPORT CENTER OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-7561
Mailing Address - Street 1:15305 NW 60TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2461
Mailing Address - Country:US
Mailing Address - Phone:786-536-7561
Mailing Address - Fax:305-437-8180
Practice Address - Street 1:15305 NW 60TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2461
Practice Address - Country:US
Practice Address - Phone:786-536-7561
Practice Address - Fax:305-437-8180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty