Provider Demographics
NPI:1952175887
Name:ZADA BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:ZADA BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL RISCO FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-574-1276
Mailing Address - Street 1:1650 W 44TH PL APT 223
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7469
Mailing Address - Country:US
Mailing Address - Phone:786-574-1276
Mailing Address - Fax:
Practice Address - Street 1:1650 W 44TH PL APT 223
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7469
Practice Address - Country:US
Practice Address - Phone:786-574-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty