MEDICARE: BEHAVIORAL THERAPY SERVICES INC

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
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1205344140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	10665 SW 190TH ST STE 3205
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7654
Country	:	US
Telephone Number	:	561-699-2638
Fax Number	:

Provider Business Practice Location Address
First Line	:	10665 SW 190TH ST STE 3205
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7654
Country	:	US
Telephone Number	:	561-699-2638
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADRIAN VIGIL PEREIRA
Credential	:
Telephone Number	:	561-699-2638

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	01/12/2018

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