Healthcare Provider Details

I. General information

NPI: 1619404480
Provider Name (Legal Business Name): BEHAVIOR PLUS INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 NW 53RD ST STE 350
MIAMI FL
33166-7712
US

IV. Provider business mailing address

5845 SW 144TH CIRCLE PL
MIAMI FL
33183-1073
US

V. Phone/Fax

Practice location:
  • Phone: 305-776-0728
  • Fax: 561-828-3124
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA 1-10-7628
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELOISA ARANDIA
Title or Position: OWNER
Credential:
Phone: 305-776-0728