Healthcare Provider Details

I. General information

NPI: 1649196643
Provider Name (Legal Business Name): NEXO BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO ARRENALES, SECTOR LA CHARCA, CALLE REPARTO ROLDA #38697
AGUADILLA PR
00603
US

IV. Provider business mailing address

HC 7 BOX 38697
AGUADILLA PR
00603-9449
US

V. Phone/Fax

Practice location:
  • Phone: 469-476-4523
  • Fax:
Mailing address:
  • Phone: 469-389-1127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YAMILITZA RAMOS SANCHEZ
Title or Position: OWNER
Credential: BCBA
Phone: 469-476-4523