Healthcare Provider Details

I. General information

NPI: 1104586262
Provider Name (Legal Business Name): GLOBAL BEHAVIORAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 12/29/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SE CORK RD
PORT ST LUCIE FL
34984-6309
US

IV. Provider business mailing address

7461 NW 36TH ST
LAUDERHILL FL
33319-4903
US

V. Phone/Fax

Practice location:
  • Phone: 954-873-4039
  • Fax:
Mailing address:
  • Phone: 954-873-4039
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIQUE SAMANTHA ROWE
Title or Position: LEAD ANALYST
Credential: M.S., BCBA
Phone: 954-873-4039