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NPI Code Detail

MEDICARE: BLESSED & BEYOND BEHAVIORAL CORP

MEDICARE: BLESSED & BEYOND BEHAVIORAL CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063003978
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLESSED & BEYOND BEHAVIORAL CORP
Provider Business Mailing Address
First Line : 2328 10TH AVE N STE 501A
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-6615
Country : US
Telephone Number : 786-843-0929
Fax Number :
Provider Business Practice Location Address
First Line : 2328 10TH AVE N STE 501A
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-6615
Country : US
Telephone Number : 786-843-0929
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WINNIE AGUIAR SUAREZ
Credential :
Telephone Number : 786-843-0929
Provider Enumeration Date : 02/02/2021
Last Update Date : 12/04/2025

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Directions to “BLESSED & BEYOND BEHAVIORAL CORP ” Practice Location

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