Healthcare Provider Details

I. General information

NPI: 1790554541
Provider Name (Legal Business Name): EVECA BEHAVIOR CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE STE 206
MIRAMAR FL
33027-3257
US

IV. Provider business mailing address

8552 CLARIDGE DR
MIRAMAR FL
33025-2849
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-6231
  • Fax:
Mailing address:
  • Phone: 786-393-2415
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JESUS L COMAS
Title or Position: CO-OWNER
Credential: BEHAVIOR ANALYST
Phone: 786-393-2415