Provider Demographics
NPI:1841003712
Name:BECHARA, DAMIAN ANTONIO
Entity type:Individual
Prefix:
First Name:DAMIAN
Middle Name:ANTONIO
Last Name:BECHARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 SW 197TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8963
Mailing Address - Country:US
Mailing Address - Phone:786-560-0422
Mailing Address - Fax:
Practice Address - Street 1:8920 SW 197TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8963
Practice Address - Country:US
Practice Address - Phone:786-560-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-403973106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician