MEDICARE: BEHAVIOR CONSULTING SERVICES 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
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1245891274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIOR CONSULTING SERVICES CORP

Provider Business Mailing Address
First Line	:	3701 SW 90TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4342
Country	:	US
Telephone Number	:	305-342-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	4822 SW 75TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4437
Country	:	US
Telephone Number	:	305-342-0286
Fax Number	:

Authorized Official
Title or Position	:	BCBA/ADMINISTRATOR
Name	:	MS. ARISLEIDY RIVERS
Credential	:
Telephone Number	:	305-342-0286

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	06/20/2019

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