Healthcare Provider Details

I. General information

NPI: 1528777885
Provider Name (Legal Business Name): SAFE BEHAVIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7392 NW 35TH TER STE 301
MIAMI FL
33122-1260
US

IV. Provider business mailing address

7392 NW 35TH TER STE 301
MIAMI FL
33122-1260
US

V. Phone/Fax

Practice location:
  • Phone: 786-444-5578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIA L GONZALEZ
Title or Position: MEMBER
Credential:
Phone: 786-444-5578