MEDICARE: SUNBEAR BEHAVIORAL HEALTH CORP

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	:	1760362560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNBEAR BEHAVIORAL HEALTH CORP

Provider Business Mailing Address
First Line	:	4360 NW 187TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2638
Country	:	US
Telephone Number	:	305-930-1219
Fax Number	:

Provider Business Practice Location Address
First Line	:	4360 NW 187TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2638
Country	:	US
Telephone Number	:	305-930-1219
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. HELEN CASTRO
Credential	:	BCBA
Telephone Number	:	305-930-1219

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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