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NPI Code Detail

MEDICARE: HA BEHAVIOR SERVICES LLC

MEDICARE: HA BEHAVIOR SERVICES 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396428017
Entity Type Code : Organization
Provider Name (Legal Business Name) : HA BEHAVIOR SERVICES LLC
Provider Business Mailing Address
First Line : 5280 SW 89TH AVE
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-5143
Country : US
Telephone Number : 786-222-2495
Fax Number :
Provider Business Practice Location Address
First Line : 5280 SW 89TH AVE
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-5143
Country : US
Telephone Number : 786-222-2495
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. HECTOR EDUARDO ALBANES GARCIA
Credential :
Telephone Number : 786-222-2495
Provider Enumeration Date : 08/09/2023
Last Update Date : 08/09/2023

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