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NPI Code Detail

MEDICARE: LOVE FOR CHILDHOOD BEHAVIORAL SERVICES INC

MEDICARE: LOVE FOR CHILDHOOD BEHAVIORAL 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
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 : 1528648474
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE FOR CHILDHOOD BEHAVIORAL SERVICES INC
Provider Business Mailing Address
First Line : 200 KNUTH RD STE 202
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-4629
Country : US
Telephone Number : 786-307-3571
Fax Number :
Provider Business Practice Location Address
First Line : 200 KNUTH RD STE 202
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-4629
Country : US
Telephone Number : 786-307-3571
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOSE LUIS FANJUL RIVERO
Credential :
Telephone Number : 786-307-3571
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/05/2026

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Directions to “LOVE FOR CHILDHOOD BEHAVIORAL SERVICES INC ” Practice Location

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