Healthcare Provider Details

I. General information

NPI: 1306729272
Provider Name (Legal Business Name): BEHAVIOR SOLUTIONS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N PALM AVE STE 308A
PEMBROKE PINES FL
33026-3242
US

IV. Provider business mailing address

1601 N PALM AVE STE 308A
PEMBROKE PINES FL
33026-3242
US

V. Phone/Fax

Practice location:
  • Phone: 786-491-8674
  • Fax:
Mailing address:
  • Phone: 786-491-8674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DORYSEL DIAZ DIAZ
Title or Position: OWNER
Credential: ARNP
Phone: 786-491-8674