Healthcare Provider Details

I. General information

NPI: 1275106932
Provider Name (Legal Business Name): RCC BEHAVIORAL WORLD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 PGA BLVD STE 607
PALM BEACH GARDENS FL
33410-6553
US

IV. Provider business mailing address

4400 PGA BLVD STE 607
PALM BEACH GARDENS FL
33410-6553
US

V. Phone/Fax

Practice location:
  • Phone: 561-718-3787
  • Fax:
Mailing address:
  • Phone: 561-718-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REINALDO RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 561-718-3787