Provider Demographics
NPI:1952879470
Name:D&M BEHAVIOR SOLUTIONS INC
Entity Type:Organization
Organization Name:D&M BEHAVIOR SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:PAVON SANFIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-746-1407
Mailing Address - Street 1:1250 W 53RD ST APT 18
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3086
Mailing Address - Country:US
Mailing Address - Phone:305-746-1407
Mailing Address - Fax:
Practice Address - Street 1:1250 W 53RD ST APT 18
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3086
Practice Address - Country:US
Practice Address - Phone:305-746-1407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid