Healthcare Provider Details

I. General information

NPI: 1275209561
Provider Name (Legal Business Name): LSV BEHAVIOR SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 SE 2ND ST
BOYNTON BEACH FL
33435-7280
US

IV. Provider business mailing address

2310 SE 2ND ST
BOYNTON BEACH FL
33435-7280
US

V. Phone/Fax

Practice location:
  • Phone: 786-617-7476
  • Fax:
Mailing address:
  • Phone: 786-617-7476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LUMEY SUAREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-617-7476