Provider Demographics
NPI:1932964541
Name:ROMERO BEHAVIOR CORP
Entity Type:Organization
Organization Name:ROMERO BEHAVIOR CORP
Other - Org Name:ROMERO BEHAVIOR CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-318-4471
Mailing Address - Street 1:5118 N 56TH ST STE 116
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-5481
Mailing Address - Country:US
Mailing Address - Phone:305-753-3748
Mailing Address - Fax:
Practice Address - Street 1:5118 N 56TH ST STE 116
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5481
Practice Address - Country:US
Practice Address - Phone:305-753-3748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty