MEDICARE: BEST BEHAVIORAL HEALTH 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	106E00000X	Assistant Behavior Analyst
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1417495268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST BEHAVIORAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2189 WEST 60 ST
Second Line	:	SUITE 201-A
City	:	HIALEAH
State	:	FL
Zip	:	33016
Country	:	US
Telephone Number	:	786-797-0300
Fax Number	:	305-675-2443

Provider Business Practice Location Address
First Line	:	2189 W 60TH ST
Second Line	:	SUITE 201-A
City	:	HIALEAH
State	:	FL
Zip	:	33016-2692
Country	:	US
Telephone Number	:	786-797-0300
Fax Number	:	305-675-2443

Authorized Official
Title or Position	:	OWNER
Name	:	LEYSI CASANOVA
Credential	:
Telephone Number	:	786-797-0300

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	02/01/2017

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