Healthcare Provider Details

I. General information

NPI: 1568281517
Provider Name (Legal Business Name): POSITIVE BEES BEHAVIOR & PEDIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 SW 170TH AVE
SOUTHWEST RANCHES FL
33331-1218
US

IV. Provider business mailing address

5001 SW 170TH AVE
SOUTHWEST RANCHES FL
33331-1218
US

V. Phone/Fax

Practice location:
  • Phone: 786-872-4325
  • Fax:
Mailing address:
  • Phone: 786-872-4325
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: YANISLEIDYS TRABADO
Title or Position: OWNER
Credential:
Phone: 786-872-4325