Provider Demographics
NPI:1831814912
Name:INCLUSIVE MINDS BEHAVIOR SERVICES LLC
Entity type:Organization
Organization Name:INCLUSIVE MINDS BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-778-2208
Mailing Address - Street 1:11900 SW 24TH TER # TRR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2454
Mailing Address - Country:US
Mailing Address - Phone:305-778-2208
Mailing Address - Fax:
Practice Address - Street 1:212 POMEGRANTE AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3239
Practice Address - Country:US
Practice Address - Phone:305-778-2208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty