Provider Demographics
NPI:1770211070
Name:BEMINDFUL ABA CORP
Entity type:Organization
Organization Name:BEMINDFUL ABA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LISSET
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIU TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-348-7003
Mailing Address - Street 1:10570 S FEDERAL HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5606
Mailing Address - Country:US
Mailing Address - Phone:786-348-7003
Mailing Address - Fax:
Practice Address - Street 1:10570 S FEDERAL HWY STE 300
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5606
Practice Address - Country:US
Practice Address - Phone:786-348-7003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-13
Last Update Date:2022-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty