MEDICARE: OH BEHAVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1164386074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OH BEHAVE LLC

Provider Business Mailing Address
First Line	:	3131 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6657
Country	:	US
Telephone Number	:	786-853-6717
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6657
Country	:	US
Telephone Number	:	786-853-6717
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE CASTELLANO
Credential	:
Telephone Number	:	786-853-6717

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “OH BEHAVE LLC ” Practice Location

Language	Start Address	Practice Location

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