Healthcare Provider Details

I. General information

NPI: 1053851246
Provider Name (Legal Business Name): BEHAVIORAL INITIATIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NW 150TH AVE STE 2112
PEMBROKE PINES FL
33028-2870
US

IV. Provider business mailing address

10537 SW 13TH CT
PEMBROKE PINES FL
33025-4766
US

V. Phone/Fax

Practice location:
  • Phone: 754-264-8779
  • Fax: 754-264-8308
Mailing address:
  • Phone: 954-579-6204
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH BARTLETT
Title or Position: CEO
Credential: M.S., BCBA
Phone: 954-579-6204