Provider Demographics
NPI:1932735644
Name:MAX BEHAVIOR SOLUTIONS. CORP
Entity Type:Organization
Organization Name:MAX BEHAVIOR SOLUTIONS. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ANALYST, COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-340-5214
Mailing Address - Street 1:27660 SW 135TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-2568
Mailing Address - Country:US
Mailing Address - Phone:786-340-5214
Mailing Address - Fax:
Practice Address - Street 1:224 WASHINGTON AVE STE 1
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6061
Practice Address - Country:US
Practice Address - Phone:786-340-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-14
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108554000Medicaid