Healthcare Provider Details

I. General information

NPI: 1356996045
Provider Name (Legal Business Name): TEAM BEHAVIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4793 N CONGRESS AVE STE 203
BOYNTON BEACH FL
33426-7937
US

IV. Provider business mailing address

4793 N CONGRESS AVE STE 203
BOYNTON BEACH FL
33426-7937
US

V. Phone/Fax

Practice location:
  • Phone: 561-722-9107
  • Fax:
Mailing address:
  • Phone: 561-722-9107
  • Fax: 561-448-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARLOS LAMADRID
Title or Position: OWNER
Credential: BCBA
Phone: 786-445-3334