Healthcare Provider Details

I. General information

NPI: 1205344140
Provider Name (Legal Business Name): BEHAVIORAL THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10665 SW 190TH ST STE 3205
CUTLER BAY FL
33157-7654
US

IV. Provider business mailing address

10665 SW 190TH ST STE 3205
CUTLER BAY FL
33157-7654
US

V. Phone/Fax

Practice location:
  • Phone: 561-699-2638
  • Fax:
Mailing address:
  • Phone: 561-699-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN VIGIL PEREIRA
Title or Position: PRESIDENT
Credential:
Phone: 561-699-2638