Healthcare Provider Details

I. General information

NPI: 1326707449
Provider Name (Legal Business Name): FAMILY THERAPY & BEHAVIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8395 W OAKLAND PARK BLVD STE A
SUNRISE FL
33351-7301
US

IV. Provider business mailing address

8395 W OAKLAND PARK BLVD STE A
SUNRISE FL
33351-7301
US

V. Phone/Fax

Practice location:
  • Phone: 561-818-1367
  • Fax: 561-516-8183
Mailing address:
  • Phone: 561-818-1367
  • Fax: 561-516-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. NOMARY MORALES
Title or Position: OWNER
Credential:
Phone: 561-818-1367