Provider Demographics
NPI:1770091126
Name:BEHAVIORAL CARE EXCELLENCE LLC
Entity type:Organization
Organization Name:BEHAVIORAL CARE EXCELLENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-613-4985
Mailing Address - Street 1:2501 SW 101ST AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5093
Mailing Address - Country:US
Mailing Address - Phone:954-613-4985
Mailing Address - Fax:
Practice Address - Street 1:2501 SW 101ST AVE STE 209
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5093
Practice Address - Country:US
Practice Address - Phone:954-613-4985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty