Healthcare Provider Details

I. General information

NPI: 1720667488
Provider Name (Legal Business Name): PARADIGM BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 N OCEAN DR APT B6A
RIVIERA BEACH FL
33404-3233
US

IV. Provider business mailing address

2800 N OCEAN DR APT B6A
RIVIERA BEACH FL
33404-3233
US

V. Phone/Fax

Practice location:
  • Phone: 305-310-3838
  • Fax:
Mailing address:
  • Phone: 305-310-3838
  • 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: MRS. MIRTHA TORRES
Title or Position: CEO
Credential:
Phone: 786-587-5101