MEDICARE: BEHAVIORAL SERVICES ASSOCIATES 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1740863711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL SERVICES ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2500 HOLLYWOOD BLVD STE 304
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6615
Country	:	US
Telephone Number	:	954-256-0109
Fax Number	:	954-324-3573

Provider Business Practice Location Address
First Line	:	2500 HOLLYWOOD BLVD STE 304
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6615
Country	:	US
Telephone Number	:	954-256-0109
Fax Number	:	954-324-3573

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAYBI COHEN
Credential	:
Telephone Number	:	954-256-0109

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	03/18/2026

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