Healthcare Provider Details

I. General information

NPI: 1417736596
Provider Name (Legal Business Name): Q&V BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9540 DOMINICAN DR
CUTLER BAY FL
33189-1619
US

IV. Provider business mailing address

9540 DOMINICAN DR
CUTLER BAY FL
33189-1619
US

V. Phone/Fax

Practice location:
  • Phone: 786-318-0846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ALIS NELVIS VILLARINO RIVERY
Title or Position: MGR
Credential:
Phone: 786-318-0846