NPI Code Details Logo

NPI 1396363792

NPI 1396363792 : SOUTH FLORIDA BBF INC : POMPANO BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396363792
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SOUTH FLORIDA BBF INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/12/2020
-----------------------------------------------------
    Last Update Date     |    09/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2335 E ATLANTIC BLVD STE 200 
-----------------------------------------------------
    City                 |    POMPANO BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33062-5244
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-532-2195
-----------------------------------------------------
    Fax                  |    305-564-8831
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2335 E ATLANTIC BLVD STE 200 
-----------------------------------------------------
    City                 |    POMPANO BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33062-5244
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-715-3109
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP
-----------------------------------------------------
    Name                 |     SOLANGEL  PADRON 
-----------------------------------------------------
    Credential           |    BCBA
-----------------------------------------------------
    Telephone            |    549-532-2195
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.