MEDICARE: BEEHAVIORAL SOLUTIONS 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	:	1851247886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	3103 NW 17TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-8483
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3103 NW 17TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-8483
Country	:	US
Telephone Number	:	786-444-8319
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	JESSICA SOCORRO MAS
Credential	:	BCBA
Telephone Number	:	786-444-8319

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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