Healthcare Provider Details

I. General information

NPI: 1821240185
Provider Name (Legal Business Name): FAMILY ENRICHMENT BEHAVIORAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3829 HOLLYWOOD BLVD STE D
HOLLYWOOD FL
33021-6790
US

IV. Provider business mailing address

3829 HOLLYWOOD BLVD SUITE D
HOLLYWOOD FL
33021
US

V. Phone/Fax

Practice location:
  • Phone: 954-367-3600
  • Fax: 954-367-3601
Mailing address:
  • Phone: 954-367-3600
  • Fax: 954-367-3601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. YVES JOSEPH
Title or Position: CEO
Credential:
Phone: 954-553-6439